<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1134-928X</journal-id>
<journal-title><![CDATA[Gerokomos]]></journal-title>
<abbrev-journal-title><![CDATA[Gerokomos]]></abbrev-journal-title>
<issn>1134-928X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Geriátrica y Gerontológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1134-928X2018000200100</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La importancia del tratamiento inicial adecuado en una quemadura subdérmica en miembro inferior. Caso clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[The importance of adequate initial treatment in a subdermal burn in lower limb. Clinical case]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guinot-Bachero]]></surname>
<given-names><![CDATA[Jordi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Montero]]></surname>
<given-names><![CDATA[Adrián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Blanco]]></surname>
<given-names><![CDATA[Nuria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Viedma-Contreras]]></surname>
<given-names><![CDATA[Soledad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gombau-Baldrich]]></surname>
<given-names><![CDATA[Yolanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Salud Palleter  ]]></institution>
<addr-line><![CDATA[Castellón de la Plana ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidad Docente Multidisciplinar de Atención Familiar y Comunitaria de Castellón  ]]></institution>
<addr-line><![CDATA[Castellón de la Plana ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Unidad Docente Multidisciplinar de Atención Familiar y Comunitaria de Castellón  ]]></institution>
<addr-line><![CDATA[Castellón de la Plana ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General Universitario  ]]></institution>
<addr-line><![CDATA[Castellón de la Plana ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>29</volume>
<numero>2</numero>
<fpage>100</fpage>
<lpage>104</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1134-928X2018000200100&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1134-928X2018000200100&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1134-928X2018000200100&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La quemadura es una lesión térmica multicausal que afecta a diferentes tejidos corporales. En miembro inferior se complican con síndrome posflebítico, cicatrices retráctiles y disfunciones motoras, por lo que el diagnóstico precoz y el tratamiento adecuado son piezas claves. Presentamos el caso de un hombre parapléjico de 37 años con quemadura subdérmica, o de tercer grado, en pierna derecha. El tratamiento inicial basado en mallas antiadherentes, pomadas y vendas crepé causó signos de involución y flebolinfedema en la extremidad. El objetivo es exponer el tratamiento realizado en cada fase de la lesión, concretando el algoritmo de actuación ante las complicaciones surgidas. Los resultados determinan que el abordaje inicial fue ineficiente, empeoró la lesión y condicionó la posterior evolución de la lesión. Se describe el plan de cuidados ejecutado, concretando los diferentes apósitos utilizados en cada fase de la evolución de la herida y el abordaje de las complicaciones detectadas hasta su cierre epitelial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Burn is a multicausal lesion that affects different body tissues. In lower limbs, they present with postphlebitic syndrome, retractable scars and motor dysfunctions, so early diagnosis and adequate treatment are key components. We present the case of a 37-year-old paraplegic man with total thickness burn in the right leg. The initial treatment based on non-stick mesh, ointments and crepe bandages caused signs of involution and flebolinfedema in the limb. The objective is to expose the treatment performed in each phase of the injury, specifying the algorithm of action before the complications that have arisen. The results determine that the initial approach was inefficient, worsened the lesion and conditioned the subsequent evolution of the lesion. The executed plan of care is described, specifying the different dressings used in each phase of the evolution of the wound and the approach of the detected complications until their epithelial closure.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Quemaduras]]></kwd>
<kwd lng="es"><![CDATA[atención primaria]]></kwd>
<kwd lng="es"><![CDATA[extremidad inferior]]></kwd>
<kwd lng="es"><![CDATA[lesión]]></kwd>
<kwd lng="es"><![CDATA[tratamientos]]></kwd>
<kwd lng="es"><![CDATA[enfermería]]></kwd>
<kwd lng="en"><![CDATA[Burns]]></kwd>
<kwd lng="en"><![CDATA[primary care]]></kwd>
<kwd lng="en"><![CDATA[lower extremity]]></kwd>
<kwd lng="en"><![CDATA[injury]]></kwd>
<kwd lng="en"><![CDATA[treatments]]></kwd>
<kwd lng="en"><![CDATA[nursing]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baltà-Domínguez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Valls Colomé]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quemaduras]]></article-title>
<source><![CDATA[AMF]]></source>
<year>2011</year>
<volume>7</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>584-90</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Petit-Jornet]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Teixidó-Vidal]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quemaduras como herida crónica]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[García-Fernández]]></surname>
<given-names><![CDATA[FP]]></given-names>
</name>
<name>
<surname><![CDATA[Soldevilla-Agreda]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[Torra-Bou]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
</person-group>
<source><![CDATA[Atención Integral de las Heridas Crónicas]]></source>
<year>2016</year>
<edition>2</edition>
<page-range>413-32</page-range><publisher-loc><![CDATA[Logroño ]]></publisher-loc>
<publisher-name><![CDATA[GNEAUPP-FSJJ]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Petit-Jornet]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Protocolo de tratamiento de las quemaduras en atención primaria]]></article-title>
<source><![CDATA[FMC]]></source>
<year>2010</year>
<volume>17</volume>
<numero>Extra 3</numero>
<issue>Extra 3</issue>
<page-range>7-29</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cuenca-Pardo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Álvarez-Díaz]]></surname>
<given-names><![CDATA[CJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Costo-beneficio de la cirugía precoz del paciente quemado comparado con cirugía tardía]]></article-title>
<source><![CDATA[Cir Plast]]></source>
<year>2000</year>
<volume>10</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>5-7</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodríguez Silva]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Noriega Rodríguez]]></surname>
<given-names><![CDATA[DR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudio del Síndrome Posflebítico en 30 pacientes quemados]]></article-title>
<source><![CDATA[Rev Cubana Cir]]></source>
<year>1999</year>
<volume>38</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>95-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="">
<collab>Wounds Int</collab>
<source><![CDATA[International Best Practice Guidelines: Effective skin and wound management of noncomplex burns]]></source>
<year>2014</year>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<collab>European Wound Management Association (EWMA)</collab>
<source><![CDATA[Heridas de difícil cicatrización: un enfoque integral]]></source>
<year>2008</year>
<publisher-loc><![CDATA[Londres ]]></publisher-loc>
<publisher-name><![CDATA[MEP Ltd.]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Teng]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Use of negative pressure wound therapy in burn patients]]></article-title>
<source><![CDATA[Int Wound J]]></source>
<year>2016</year>
<volume>13</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>15-8</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Esperón Güimil]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Loureiro Rodríguez]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Antón Fuentes]]></surname>
<given-names><![CDATA[VM]]></given-names>
</name>
<name>
<surname><![CDATA[Rosendo Fernández]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez García]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Soldevilla-Agreda]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Variabilidad en el abordaje de las heridas crónicas: ¿qué opinan las enfermeras?]]></article-title>
<source><![CDATA[Gerokomos]]></source>
<year>2014</year>
<volume>25</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>171-7</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jovanovic]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ermis]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mewaldt]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Shi]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Carson]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Influence of Metal Salts, Surfactants, and Wound Care Products on Enzymatic Activity of Collagenase, the Wound Debriding Enzyme]]></article-title>
<source><![CDATA[Wounds]]></source>
<year>2012</year>
<volume>24</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>242-53</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tizón-Bouza]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pazos-Platas]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Álvarez-Díaz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Marcos Espino]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Quintela-Varela]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cura en ambiente húmedo en úlceras crónicas a través del Concepto TIME. Recomendaciones basadas en la evidencia]]></article-title>
<source><![CDATA[Enfermería dermatológica]]></source>
<year>2013</year>
<numero>20</numero>
<issue>20</issue>
<page-range>31-42</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sabaghzade]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Varaie]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Comparison of the effect of Aloe Vera Gel and Nitrofurazone 2% on epithelialization and granulation tissue formation regarding superficial second-degree burns]]></article-title>
<source><![CDATA[Irán J Med Sci]]></source>
<year>2016</year>
<volume>41</volume>
<numero>^s3</numero>
<issue>^s3</issue>
<supplement>3</supplement>
<page-range>S3</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
