title: Phenol burns and intoxications.
abstract: Phenol burns and intoxications are life-threatening injuries. Roughly 50 per cent of all reported cases have a fatal outcome. Only a small number of cases have been reported with high serum concentrations after phenol burns who survived. In our own experience a patient with 20.5 per cent total body surface area deep partial skin thickness phenol burns and serum concentrations of 17,400 micrograms/litre survived after immediate and repeated treatment of the scalds with polyethylene glycol (PEG) and silver sulphadiazine. A literature review of experiences with phenol intoxications reveals the advantages of PEG application. Questions on the need for enforced diuresis and haemodialysis as well as the initial treatment procedures are discussed. Advantages of different solutions for local therapy are reported.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Hand Surgery, Burn Center, Cologne Merheim, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Horch
authors.forename: G
authors.initials: G
authors.lastname: Spilker
authors.forename: G B
authors.initials: GB
authors.lastname: Stark
mesh_terms: D000062:Accidents, Occupational; D000328:Adult; D002057:Burns, Chemical / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D006801:Humans; D008297:Male; D019800:Phenol; D010636:Phenols / Q000009:adverse effects* / Q000506:poisoning*; D011041:Poisoning / Q000628:therapy
chemical_list: D010636:Phenols; D019800:Phenol