How to deal with burns that have broken the skin?

Written by Wang Xiang Li
Emergency Medicine
Updated on November 01, 2024
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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 Li Xiao Lin
Emergency Department
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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
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What should I do if it swells after being scalded by boiling water?

After a scalding injury with boiling water that causes swelling, it is essential to first soak the affected area in running tap water or cold water for at least half an hour to reduce the skin temperature. If the burn is severe, not only showing swelling but also skin rupture, one should apply some ointment and then wrap it with gauze to keep the dressing clean and prevent infection, which can promote healing of the wound surface and reduce swelling more quickly. After a scald, the permeability of capillaries in the tissues notably increases, causing fluid from the vessels to seep into the interstitial space or outside the body, leading to tissue edema. It is beneficial to elevate the affected limb to increase the blood flow returning to the circulation, thereby alleviating the severity of the swelling. If the burn is severe enough to require surgery, skin grafting or flap surgery might be necessary.

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Written by Li Xiao Lin
Emergency Department
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Why do burns on fingers blister?

After a finger is scalded, the high local temperature causes some damage underneath the skin, resulting in the skin oozing fluid. This fluid accumulates and forms blisters, so after a scald, the finger may develop a blister or several blisters. Once a blister has formed, try not to puncture it. It can be disinfected with iodine and allowed to absorb slowly on its own. Puncturing the blister might lead to infection, worsening the condition. Generally, after a finger is scalded and a blister forms, it suffices to disinfect the area. Of course, it is crucial to cool the finger quickly after the scald to minimize further damage.

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Written by Wang Xiang Li
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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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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.