In the 16th century, Ambrose Pare advocated deep burn excision. Arabian physicians used ice-cold water as advocated by Rhazes in the ninth century AC. Roman writings in the first century AD (Anno Domini) by Celsus also suggest different topical agents including honey, vinegar, bran, and exposure to air. Chinese medicine in the 6th century BC advocated the use of tea leaf extract on burns, while Hippocrates in the 4th century BC advocated multiple treatment options for burns including pig fat-soaked dressings, vinegar-soaked dressings, and balms made of oak bark. Documentation of treatment recommendations were found in ancient Egyptian writings, the Ebers and Smith papyri, dating over 1500 BC (Before Christ), describing several treatment options including incantations, breast milk, and topical applications of multiple agents including honey, resin, and fabric strips soaked in oil as dressings. The first depictions of burn injury and treatment have been found in cave drawings. Attempts to treat burn injury are as old as man’s use of fire.
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