Objective: to evaluate the efficiency of hydrogel «Burnshield»  in the  treatment of burn wounds in first 24 hours after burns. 

Materials and methods: the study included 22 patients from 18 to 56 years old (38.65 + 10.96; median 37.5) with burns of I-II degree with a burn area from 1% to 7% TBSA  (4.9 + 1.33; median 5),  who asked for help at the clinic of the burn center up to 60 minutes after the accident and to whom were not applied any significant treatment of wounds. 12 patients were included in group I with «Burnshield»  hydrogel, composed of 96% water, 0.025% ethanol, 1.03% Melaleuca alternofolia (tea tree oil) and 1.5% propylene glycol. In the other group were 10 patients, where the wounds were treated in the traditional manner. We evaluated healing and analgesic effects for visual analogue scale (VAS). 

Results / Discussion: in group I epithelialization  of burn wounds on the face occurred in terms of 7.55+1.15 days (median 7.5).  Because of its structure, the hydrogel evaporated and caused cooling and anesthesia of the ocular wound: pain was assessed 2.1+1.1points (median 2). on a visual analogue scale (VAS). In the group II the wounds were epithelialization in 9+2.6 days  (median  9,4).  Dressing changes for the patients of the group II were painful, level of pain for VAS was 6.2 +0.56 points  (median 6).  When using the «Burnshield»  hydrogel in group I, the wounds were clean, in the form of well-supplied eroded surfaces, in group II there was a dry fibrin film on the wound.

Conclusion: hydrogel «Burnshield»   is an very effective  for local treatment of patients in first 24 hours after burns..

3 - FIRST EXPERITNCE WITH GIDROGEL* ON THE TREATMENT BURN WOUND IN ACUTE PERIOD