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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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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How long will it take for a burn on the finger to ease the pain?

After a finger scald, how long it takes for the pain to alleviate depends on the severity of the burn, and the specific time cannot be confirmed. Generally, the pain caused by burns is mainly due to damage to the epidermis, which affects the peripheral nerves, leading to neuropathic pain. At the start of the burn, you can rinse with cold water for half an hour to appropriately alleviate the pain. However, this pain relief is only temporary, so you may need to take some medications to alleviate it, such as pain relievers or celecoxib, which might be effective. If the injury is deeper, affecting below the dermal layer and damaging the nerves, then there will be no pain, and there is no need to address the pain. (The use of medications should be under the guidance of a professional doctor.)

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Written by Zhu Zhu
Dermatology
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Can the blisters from a burn be punctured?

Whether to rupture the blisters that appear after a burn depends on the situation. If the blisters caused by the burn are relatively small, it is not necessary to puncture them, as this is better for the skin and can provide protection. However, if the blisters that appear after the burn are large, it is advisable to rupture them, because if the blisters are too large, the fluid cannot be completely absorbed by the body, which can hinder healing.

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Written by Chen Xiao Jun
Emergency Department
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What should I do if the circulation is poor after a finger scald?

After a finger is scalded and circulation is poor, it is necessary to improve this by constantly changing the dressing. Poor circulation after scalding affects the recovery of finger skin and the formation of new skin. If poor circulation is observed after a scald, it is crucial to intensify dressing changes, even remove necrotic tissue, and promote the growth of granulation tissue. When necessary, relevant medications can be used to remove decay and generate new muscle, improve microcirculation, and promote the regeneration of skin and muscle.

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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.