Will a burn leave a scar?

Written by Wang Xiang Li
Emergency Medicine
Updated on February 05, 2025
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Whether burns leave scars depends on the severity of the burn and whether emergency measures were taken after the burn. Clinically, burns can be divided into three degrees. A first-degree burn, which is mild, generally shows symptoms such as stinging pain, mild swelling, and erythema. With timely soaking in cold water, rinsing, and application of burn medicine, scars are not left. For deeper second-degree and third-degree burns that involve the dermis, there is a possibility of scarring. At this point, the skin at the affected area may show necrosis, and local healing may be delayed. Therefore, actively treating the burn immediately after it occurs, preventing infection, and quicker wound healing can reduce the likelihood of scarring.

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Written by Li Xiao Lin
Emergency Department
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How to relieve pain from a finger burn that is red

Redness and pain have occurred in the finger due to a burn, indicating that the burn is not severe and has likely affected the epidermis and its terminal nerves, causing pain. First, to alleviate the pain, the burn can be immediately rinsed with cold water or running cold water for over half an hour. If pain relief is not significantly achieved by this method, oral pain relievers such as painkillers or celecoxib may be taken for pharmacological pain management, which should provide some relief. If oral medication is also ineffective, then it would be necessary to go to the hospital for muscle injection of pain-relief drugs. (Medication should be taken according to medical advice.)

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Written by Wang Xiang Li
Emergency Medicine
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Should blisters from burns be punctured?

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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Written by Wang Xiang Li
Emergency Medicine
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Can iodophor be used to disinfect burns?

After a burn, it is possible to disinfect with povidone-iodine. Povidone-iodine has a broad spectrum of antibacterial effects and can kill proliferating bacteria, fungi, and some viruses. After a burn occurs on the skin, the first step is to reduce the temperature of the skin, which can be done by soaking in running tap water or cold water for more than half an hour to alleviate pain. Then, disinfect with povidone-iodine. After disinfecting with povidone-iodine, apply burn moistening cream locally, and then wrap it with sterile gauze. Change the dressing once a day, and after dressing, try not to come into contact with water to prevent infection. Also, avoid friction between the wound and the gauze, as this could affect the healing of the wound. Generally, mild burns can heal in about two weeks.

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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
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How to treat scalds from boiling water?

After being scalded by boiling water, immediately rinse the scalded area with running cold water for at least half an hour, or until the pain eases, then assess the condition of the burn. If the scalded area is only red and experiencing severe pain, applying toothpaste, aloe, or tung oil topically can have a cooling and pain-relieving effect. Pain relief medications, such as oral painkillers or celecoxib, can also be used to alleviate the symptoms. If blisters appear on the scalded area or if the skin starts peeling, immediately go to the hospital for further treatment. Disinfect the wound thoroughly with iodine to prevent infection, then apply burn ointment to the surface to promote healing of the scalded tissue. If there are large blisters, use a sterile syringe to aspirate the fluid, or make a small cut at the base of the blister to drain the fluid, which can facilitate recovery. Apply erythromycin ointment to the surface to prevent infection. (Medication should be used under the guidance of a physician.)