Scald

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Written by Li Xiao Lin
Emergency Department
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Should the burned skin on the finger be cut off?

Whether to cut off the skin after a finger burn depends on the specific circumstances and cannot be generalized. It depends on the cause of the finger burn. If the burn is caused by relatively clean boiling water, the skin does not need to be cut off after disinfection. The skin acts as a protective layer, similar to a dressing, which can reduce contact with foreign objects and minimize damage to the burn from external particles or foreign objects, therefore providing certain protection. However, if the burn is caused by contaminated substances, such as lime, and the finger is contaminated, the previously burned skin should be cut off. After cleaning, it is considered a foreign object that could potentially worsen an infection.

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Written by Li Xiao Lin
Emergency Department
1min 20sec home-news-image

Scalding that causes the skin to peel off is classified as a second-degree burn.

Burns that result in skin peeling must be examined case by case, as it is impossible to generalize. The classification depends on the size of the burn and the severity of the injury. If the burn only results in peeling skin, indicating damage to the epidermis, it is considered a superficial second-degree burn. If the damage extends below the dermis, it is considered a deep second-degree burn. If there is damage to deeper tissues, it could potentially be a third-degree burn. Furthermore, if the area of skin peeling due to the burn is extensive, it may be considered deep second-degree or more severe. Therefore, immediate actions should be taken following a burn, such as rinsing with cold water for at least 30 minutes or until the pain subsides. Then, thoroughly disinfect the area with iodine to prevent infection. Applying burn ointment on the surface may help in the recovery of the burn. If necessary, cover it with a sterile gauze to prevent contact infections that could lead to skin infection. Attention should also be paid to diet; drink plenty of water, eat fresh vegetables and fruits, consume high-protein and high-nutrient foods, supplement with vitamins, and avoid spicy and stimulating foods.

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Written by Wang Xiang Li
Emergency Medicine
1min 8sec home-news-image

How to treat oil burns?

After being scalded by oil, it is necessary to quickly rinse the affected area with plenty of cold water or running tap water to alleviate pain, and then thoroughly disinfect it with iodophor. If blisters form after a scald, for smaller blisters, applying a moist burn cream can promote the healing of the wound. Small blisters generally can be absorbed on their own. If there are large blisters, you should first use a sterile syringe to aspirate the fluid inside the blister, while preserving the blister skin. At the same time, applying burn moistening cream to the surface can prevent infection. If the epidermis is broken, it is necessary to go to a formal hospital for treatment promptly. After a scald, it is important to eat lightly, consume more vegetables and fruits, and eat high-protein, nutritious foods to promote the healing of the wound. Do not eat spicy and irritating foods, drink plenty of water, avoid getting the wound wet to prevent infection, and change dressings according to the doctor's instructions.

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Written by Huang Ling Juan
Dermatology
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What should I do if I get a burn on my face?

If a burn occurs on the face, first rinse the burned area with running tap water or immerse the burned part of the face in a basin of tap water to promptly reduce the temperature of the burn site and lessen heat damage to the deeper tissues. Be sure the water is not too cold and generally rinse or soak for about 30 minutes, until the pain at the wound site significantly eases, and then rinsing or soaking may be discontinued. After rinsing or soaking in cool water, observe the burned area. If the burn site is slightly purple and red, you can apply some burn ointment at home. If there are obvious blisters or the skin is broken, protect the burn site with a clean towel and go to the nearest hospital burn department for professional medical treatment quickly. Be sure to protect the blisters on the burn site to avoid bursting them.

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Written by Wang Xiang Li
Emergency Medicine
47sec home-news-image

Can finger burns severely affect movement?

After a finger is scalded but can still move, aside from leaving scars, it generally heals well and is not particularly serious. If the patient feels significant pain, the first step is to soak the wound in cold water. If there are blisters that are not very large, do not break them, as they can protect the wound and prevent bacterial invasion. For some larger blisters whose skins have died, they should be cleaned promptly. Normally, disinfecting with iodine can prevent infection. If the burn is severe, a burn ointment can be applied, but be careful to keep it dry with no further treatment required; it will typically take about 10 days for the blistered area to heal completely.

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Written by Wang Xiang Li
Emergency Medicine
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What should I do if I don't have burn ointment after a burn?

After getting burned and if there is no burn ointment at hand, you should first remove the clothes around the burn, and then rinse or soak the wound in cold water for more than half an hour, and then apply vegetable oil to the wound. If there is noticeable redness, swelling, and pain, as well as blisters of various sizes, you can use a sterilized needle to puncture the blisters from the bottom, and squeeze out the blister fluid from top to bottom, but do not tear off the blister skin. Then disinfect with iodine and wrap the wound with a clean cloth, and promptly go to the hospital for further treatment. The patient should avoid spicy and irritating foods to reduce congestion and swelling at the burned area, thereby reducing local pain and itching.

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Written by Wang Xiang Li
Emergency Medicine
1min 3sec home-news-image

Do you need to take medicine for a burn on your hand?

Whether medication is needed after a burn depends on the individual. If a hand is burned, it should first be rinsed under running tap water or soaked for at least half an hour. If the skin is not broken, it can be disinfected with iodine and then burn ointment may be applied. If there is blistering and the skin is broken, indicating a severe burn, larger blisters should be punctured at the base with a sterile needle and the fluid can be pressed out with a cotton swab while preserving the overlying skin. Then, sterile gauze should be used daily to re-dress the wound. If the burned area is oozing and the pain is significant, oral anti-bacterial and pain relief medications can be taken. If not allergic to cephalosporins, a cephalosporin antibiotic can be taken. For pain, ibuprofen can be used. If the burn is severe, it is necessary to seek timely medical treatment. (Please follow medical advice regarding medication.)

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Written by Wang Xiang Li
Emergency Medicine
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Why does a burn from hot oil itch?

After being scalded by oil and experiencing itchy sensations, there are several scenarios: First, after the acute phase of an oil burn, if there is no local infection, the patient may feel itching in the burned area. This sensation is caused by the proliferation and repair of new epidermal tissue, which is a normal occurrence. The patient should not worry, but it is important to remember not to scratch the area to prevent local infection and rupture of the skin tissue, which could delay the healing of the wound; The second scenario occurs when there is an infection in the burn. The patient will also feel itching in the affected area, and they should go to the hospital promptly for local debridement and disinfection; The third scenario occurs when the wound heals but leaves a scar, which can also cause itching. In this case, scar treatment medications can be applied for treatment.

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Written by Li Xiao Lin
Emergency Department
39sec home-news-image

Can I drink alcohol if my finger is scalded?

Burns on the fingers are not directly related to drinking alcohol, so it is still possible to drink a small amount of alcohol after burning your fingers. However, from a health perspective, it is best to avoid drinking alcohol. The primary concern with finger burns is the treatment of the burns: frequent disinfection and dressing changes are necessary to protect the burn site and prevent infection. Additionally, it is beneficial for the recovery of the soft tissue to minimize the movement of the burned fingers. Moving the burned fingers might lead to tearing of the soft tissues and bleeding, which can prolong the recovery time of the burn.

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Written by Wang Xiang Li
Emergency Medicine
51sec home-news-image

Can I eat lamb after a burn?

Whether a burn patient can eat mutton mainly depends on the severity of the patient's condition. It is best not to eat mutton because mutton is quite pungent and is considered a hot-natured food. Eating such food after being burned is not conducive to the recovery of the burn and can make the burn more severe, easily causing local wound infection and inflammation. Apart from mutton, spicy and stimulating foods are also not recommended, such as raw onions, raw garlic, chili peppers, Sichuan peppers, leeks, fish, shrimp, beef, and dog meat. Patients should also avoid smoking and alcohol, and it is better for them to have a bland diet, which can promote metabolism and facilitate the recovery from burns.