Should blisters from burns be punctured?

Written by Wang Xiang Li
Emergency Medicine
Updated on March 14, 2025
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Whether to prick a blister caused by a burn depends on the size of the blister. For smaller, dense blisters, it's generally not necessary to break them, as the fluid can be absorbed naturally. However, it's important to keep the wound clean to avoid secondary injury, and topical burn ointment can be applied. For larger blisters caused by burns, or those with high tension that interfere with daily activities or life, and are difficult to absorb, you can sterilize the area and then use a sterile needle to puncture the base of the blister to drain the fluid. Be sure to thoroughly clean out the fluid inside the blister. However, the blister skin should be kept intact to cover the skin, providing protection, reducing the risk of infection, and promoting recovery.

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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
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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 Li Xiao Lin
Emergency Department
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What should I do if my finger gets burned and starts oozing pus?

Finger burns have developed a pus discharge, indicating a severe infection at the burn site. Once an infection occurs, in addition to disinfection, oral antibiotics should be administered for anti-infection treatment. Disinfection may need to be carried out once or twice daily. The disinfection process involves washing with saline solution, then further sterilization and disinfection with hydrogen peroxide. After rinsing with saline, re-disinfect with iodophor, and then cover with gauze and dressing. Gentamicin can be applied on top of the gauze to promote healing and improvement of the infection. If oral medications are ineffective, intravenous antibiotic infusion may be necessary for anti-infection treatment. (Medication use should be supervised by a professional doctor.)

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Written by Wang Xiang Li
Emergency Medicine
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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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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.