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Wang Xiang Li
Emergency Medicine
About me
Associate Chief Physician, Chaoyang Central Hospital in Liaoning Province, Emergency Department.
Proficient in diseases
Diagnosis, rescue, and treatment of common critically ill patients in the emergency department.
Voices
What are the emergency measures for an epileptic seizure?
Epilepsy is a chronic disease characterized by transient brain dysfunction caused by sudden abnormal discharge of brain neurons. When a patient has an acute attack, several emergency measures should be taken to prevent injury: 1. During an epileptic seizure, the patient should lie flat, with the head turned to one side or on their side, to keep the airway clear and prevent the inhalation of vomit or secretions into the respiratory tract. 2. Be aware of the surrounding environment to prevent the patient from bumping into tables and chairs, causing secondary injuries. Closely observe the patient's consciousness, breathing, and pulse. 3. Loosen the patient's collar and belt to reduce resistance in the respiratory tract, and place a gauze-wrapped tongue depressor between the teeth to prevent tongue biting and vocalization. 4. Observe whether the patient shows symptoms of increased intracranial pressure and follow medical advice for medication when necessary. Additionally, for persistent epileptic seizures, call emergency services promptly for treatment.
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.
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.
What should I do if I don't have burn ointment after a burn?
After getting burned and if there is no burn ointment at hand, you should first remove the clothes around the burn, and then rinse or soak the wound in cold water for more than half an hour, and then apply vegetable oil to the wound. If there is noticeable redness, swelling, and pain, as well as blisters of various sizes, you can use a sterilized needle to puncture the blisters from the bottom, and squeeze out the blister fluid from top to bottom, but do not tear off the blister skin. Then disinfect with iodine and wrap the wound with a clean cloth, and promptly go to the hospital for further treatment. The patient should avoid spicy and irritating foods to reduce congestion and swelling at the burned area, thereby reducing local pain and itching.
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.)
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.
Can I eat lamb after a burn?
Whether a burn patient can eat mutton mainly depends on the severity of the patient's condition. It is best not to eat mutton because mutton is quite pungent and is considered a hot-natured food. Eating such food after being burned is not conducive to the recovery of the burn and can make the burn more severe, easily causing local wound infection and inflammation. Apart from mutton, spicy and stimulating foods are also not recommended, such as raw onions, raw garlic, chili peppers, Sichuan peppers, leeks, fish, shrimp, beef, and dog meat. Patients should also avoid smoking and alcohol, and it is better for them to have a bland diet, which can promote metabolism and facilitate the recovery from burns.
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.
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.
What should I do if I am allergic to tetanus shots?
The full name of the tetanus shot is tetanus antitoxin serum, which is mainly made from horse serum and has certain allergenic properties. If a patient is allergic to tetanus antitoxin serum, desensitization injections can be used, which involves gradually injecting one milliliter of the tetanus antitoxin serum into the body in four or more sessions, with each injection spaced about twenty to thirty minutes apart. After each injection, it is important to closely observe the patient's reaction, including checking for signs of itching in the nose, hives throughout the body, or difficulty breathing. If any of these symptoms occur, emergency treatment should be administered. If the injections of tetanus antitoxin serum cannot be completed multiple times, or if the patient is unwilling to accept this method of injection, tetanus immunoglobulin can be administered instead of tetanus antitoxin serum. Tetanus immunoglobulin does not require a sensitivity test and can be directly injected into the body without causing an allergic reaction, although it is more expensive.