A 25 year old man is brought to the emergency room after sustaining burns during a fire in his apartment. He has blistering and erythema of his face, left upper extremity, and chest with frank charring of his right upper extremity. He is agitated, hypotensive and tachycardic. Which one of the following statements concerning this patient’s initial wound management is correct ?
|A||Topical antibiotics should not be used , as they will encourage growth of resistant organisms|
|B||Early excision of facial and hand burns is especially important|
|C||Escharotomy should only be performed if neurologic impairment is imminent|
|D||Excision of areas of third-degree or deep second – degree burns usually takes place 3 to 7 days after injury|