Scald

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Written by Wang Xiang Li
Emergency Medicine
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Do you need to bandage after a burn?

Whether bandaging is needed depends on the severity of the burn. Generally, if it's just simple redness, no bandaging is needed. After the local skin is scalded, if blisters form, it is considered a superficial second-degree burn. You can first rinse with cold water or soak in cold water for more than half an hour, or apply ice to reduce the pain. Before bandaging, clean the wound with hydrogen peroxide, then disinfect the wound surface with iodine, release the water inside the blister while keeping the blister skin, then apply burn ointment on the gauze, cover the wound surface, and then use multiple layers of dry gauze for bandaging. Generally, change the dressing every three days, and recovery can occur within two weeks, leaving no scars later. Patients should maintain a light diet, eat fresh vegetables and fruits, avoid spicy and stimulating food, and abstain from alcohol.

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Written by Wang Xiang Li
Emergency Medicine
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How to treat a burn from hot oil

After being scalded by hot oil, quickly wipe off the hot oil with a clean cloth and rinse the affected area with plenty of cold water or running tap water for more than half an hour, or until the pain eases. Then disinfect with iodine. If blisters occur after the burn and they are small and few, apply a moisturizing burn ointment locally to promote healing at the burn site. Generally, small blisters can absorb on their own. For larger blisters, use a sterile syringe to puncture the blister at its base and squeeze out the fluid, but keep the blister skin intact to maintain a sterile environment on the wound surface, and apply a burn moisturizing cream. If the epidermis is broken, seek treatment at a regular hospital. After a burn, it is advised to eat fresh vegetables and fruits to promote wound healing, avoid spicy and irritating foods, and keep the wound dry to prevent infection.

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Written by Li Xiao Lin
Emergency Department
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How to deal with blisters from a burn when there is no burn ointment available

After a burn causes blisters, it indicates that the burn is quite severe. If you don’t have burn ointment, there are two other methods that can be adopted. The first method is applicable if the blister is small and contains little fluid. You can protect the blister from infection by thoroughly disinfecting the area and then covering it with sterile gauze to wait for the blister to be absorbed. If the blister is large and filled with significant fluid, you can use a needle to drain it or make a small incision at its lowest point to let the fluid out. Then, thoroughly disinfect the area and cover it with a sterile gauze pad. You can wait for the fluid to be absorbed as much as possible while preventing infection. Avoid contacting the burn with water to protect the area and prevent secondary infection.

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Written by Li Xiao Lin
Emergency Department
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What should I do if my finger is numb from a burn?

Numbness in a finger after a burn suggests a severe injury, likely affecting below the dermis and damaging nerves, leading to abnormal sensations and numbness. After a finger is burned, it should be immediately rinsed with cold or running water for at least thirty minutes to cool the burn down. Then, proceed to a hospital for proper care, such as disinfection, wrapping with gauze for protection, and possibly applying burn ointment to promote recovery. Follow the doctor's instructions for daily dressing changes, and take antibiotics as prescribed to prevent and treat infections.

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Written by Wang Xiang Li
Emergency Medicine
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What fruit is good to eat for burns?

After a burn, one should consume more high-calorie, high-protein foods that are easy to digest. It is also appropriate to eat more foods that are high in vitamin C content. This is because vitamin C can promote wound healing and prevent infection. Foods rich in vitamin C include kiwi, citrus, oranges, dates, grapes, etc. Besides vitamin C, zinc also promotes wound healing, reduces scarring, and prevents infection. Foods rich in zinc include kelp, sesame, pork liver, oysters, shrimp shells, seaweed, legumes, etc. Avoid spicy and stimulating foods, and refrain from smoking, alcohol, strong tea, and coffee, especially peppers, onions, and pepper powder. This can effectively prevent wound infection and promote wound healing, killing two birds with one stone.

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Written by Wang Xiang Li
Emergency Medicine
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How to deal with burns that have broken the skin?

After a burn that breaks the skin, you can first assess the size of the burned area. For small burns, promptly rinse with cold water for about 20 minutes, or apply a cold compress to the affected area. Then, disinfect and clean the burn site with povidone-iodine, keeping the wound exposed to promote healing. If the burn is extensive, affecting the superficial dermis and reaching shallow second-degree or higher burns, after addressing the site, sterile dressings and treatments such as antibacterial and anti-inflammatory are necessary. Therefore, after the initial simple treatment, it’s crucial to seek professional medical treatment at a hospital promptly.

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Written by Wang Xiang Li
Emergency Medicine
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How to treat baby's burns with blisters

If the burn has just occurred, first ensure the baby is quickly removed from the heat source, and soak the affected area in running tap water or cold water for over half an hour. Alternatively, a cold towel can be used to moisten and cover the wound, which can reduce the thermal damage to the burn area and minimize the formation of weeping wounds. If the blistered area is small, a moisturizing burn ointment can be applied. If there are small blisters, they may be left untreated, but do not break them; this maintains a sterile environment and allows the blister to absorb slowly. However, if it is a large burn area, it is necessary to seek immediate medical attention at a nearby burn unit for proper dressing and treatment of the burn. Additionally, care should be taken to avoid squeezing the burned area and to prevent the wound from getting wet.

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Written by Wang Xiang Li
Emergency Medicine
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Can you drink alcohol after being scalded by oil?

After being scalded by oil, one should not drink alcohol, as alcohol can accelerate local blood circulation at the burn site, thereby worsening local congestion, swelling, and pain, and also prolonging the healing time of the wound. Therefore, after being scalded by oil, it is not advisable to consume beer, spirits, fruit wines, or yellow wine. Patients also need to be mindful of their diet and avoid consuming spicy foods such as raw onions, raw garlic, chili peppers, and leeks, which, like alcohol, can cause an increase in local congestion, swelling, and pain.

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Written by Wang Xiang Li
Emergency Medicine
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How to relieve pain after a burn or scald

Cold therapy is the best way to alleviate pain after a burn. Firstly, you should use running tap water or cold water to soak the affected area for more than half an hour. This can prevent heat from continuing to affect the wound and can dull the peripheral nerves in the area, reducing pain, exudation, and swelling. Secondly, you can apply some dilute saltwater to the wound to relieve pain and reduce inflammation, and then apply burn ointment to the burned area. In severe cases, oral pain relievers such as ibuprofen can be taken, and if necessary, pain medication can be administered via muscle injection. If the burned area is large, it is necessary to go to the hospital for formal treatment in a timely manner.

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Written by Wang Xiang Li
Emergency Medicine
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What to do if the pain persists after a burn?

After a burn, the pain persists primarily because the wound was not properly treated. The most common and simplest method in the early stages of a burn is to soak the burn in cold water or rinse it under running water for over half an hour. This can help wash away the residual heat on the surface, especially making it more effective for acid or alkali burns. Alternatively, you can use an ice pack to cool the area. After cooling, apply some burn ointment. If the pain is severe, pain-relieving medication can be used to treat symptoms, such as ibuprofen. If the pain is unbearable, it is advised that the patient should go to the hospital for timely examination and symptomatic treatment.