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by Carl A. Moyer and Harvey R. Butcher, Jr., 428 pp, 138 illus, $18.50, St. Louis: C. V. Mosby Co., 1967.

R. D. Liechty, MD, Reviewer
Iowa City, Iowa

JAMA. 1968;204(4):342.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

For fresh ideas of clinical importance, few recent medical books surpass this one. Treatment of the burn wound with topical silver nitrate solution is the most important innovation. Inexpensive and safe, AgNO₃ solution (at 0.5% cocentration) approaches the ideal burn wound antiseptic. Higher concentrations kill epidermis; lower concentrations fail to suppress bacteria. At this ideal concentration, the bacteriostatic covering, in contrast to septic occlusive dressings, permits epithelial regeneration of many deep second-degree burns. Also useful in treating extensive third-degree burns, AgNO₃ dressings "perform all these functions (of homografts)... without the woundmess of the rejection phenomenon."

The authors emphasize technique in applying AgNO₃ dressings. Continuous thick wet dressings with a dry covering prevent vaporizational heat loss, yet sustain diffusion of the AgNO₃ to the burn wound. Because 0.5% AgNO₃ is hypotonic, electrolyte losses may be dangerous in the early stages of a burn.

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