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Li Xiao Lin
Emergency Department
About me
Graduated from Gannan Medical University, engaged in emergency clinical work for 18 years. Went to well-known domestic hospitals such as Guangdong Provincial People's Hospital for further training in emergency and critical care, with solid theoretical knowledge and rich clinical experience, especially accumulated rich clinical experience in resuscitation, poisoning, and treatment of various critical conditions. Hosted and completed two projects funded by the Science and Technology Bureau of Ganzhou City, and published 5 academic papers in recent years.
Proficient in diseases
Proficient in emergency medical rescue and treatment of critical and difficult cases, skilled in emergency and operation techniques such as tracheal intubation, arterial and venous puncture, fiberoptic bronchoscopy, cardiac defibrillation, and emergency hemoperfusion therapy.
Voices
Should the burned skin on the finger be cut off?
Whether to cut off the skin after a finger burn depends on the specific circumstances and cannot be generalized. It depends on the cause of the finger burn. If the burn is caused by relatively clean boiling water, the skin does not need to be cut off after disinfection. The skin acts as a protective layer, similar to a dressing, which can reduce contact with foreign objects and minimize damage to the burn from external particles or foreign objects, therefore providing certain protection. However, if the burn is caused by contaminated substances, such as lime, and the finger is contaminated, the previously burned skin should be cut off. After cleaning, it is considered a foreign object that could potentially worsen an infection.
Scalding that causes the skin to peel off is classified as a second-degree burn.
Burns that result in skin peeling must be examined case by case, as it is impossible to generalize. The classification depends on the size of the burn and the severity of the injury. If the burn only results in peeling skin, indicating damage to the epidermis, it is considered a superficial second-degree burn. If the damage extends below the dermis, it is considered a deep second-degree burn. If there is damage to deeper tissues, it could potentially be a third-degree burn. Furthermore, if the area of skin peeling due to the burn is extensive, it may be considered deep second-degree or more severe. Therefore, immediate actions should be taken following a burn, such as rinsing with cold water for at least 30 minutes or until the pain subsides. Then, thoroughly disinfect the area with iodine to prevent infection. Applying burn ointment on the surface may help in the recovery of the burn. If necessary, cover it with a sterile gauze to prevent contact infections that could lead to skin infection. Attention should also be paid to diet; drink plenty of water, eat fresh vegetables and fruits, consume high-protein and high-nutrient foods, supplement with vitamins, and avoid spicy and stimulating foods.
How to treat alcoholic dermatitis?
Alcohol allergy has caused dermatitis, presenting an allergic reaction with symptoms such as rash, generalized itching, and dizziness. Oral administration of loratadine or levocetirizine tablets can be used for anti-allergy treatment. If the rash is severe and covers a large area, an external application of calamine lotion can be used, which has anti-allergic and astringent effects. If oral medication is less effective, intravenous administration of calcium gluconate and high doses of vitamin C can be considered, along with the addition of dexamethasone for anti-allergy treatment, which generally provides relief. At the same time, it is necessary to avoid alcohol and try to eliminate it from the body, which can be facilitated by inducing vomiting or using laxatives to prevent reabsorption that could worsen the dermatitis or cause chronic issues. (Medication should be used under the guidance of a physician.)
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.
What are the symptoms of mild tetanus?
Symptoms of mild tetanus may include the following: Firstly, localized muscle spasms or brief spasms in a single muscle. Additionally, one may experience facial numbness, facial asymmetry, and difficulty swallowing. Generally, these symptoms are mild and do not affect normal life. Therefore, if tetanus occurs, one should first go to the hospital for further relevant examinations and treatment. The general treatment involves administering penicillin for infection control. Additionally, symptomatic treatment includes sedatives to reduce spasms. Attention should also be paid to diet; it is advisable to drink plenty of water and consume fresh vegetables and fruits. One should avoid spicy, stimulating foods, seafood, and yeast-containing foods like beef and mutton to minimize the occurrence of tetanus symptoms.
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.
What should I do if my finger is numb from a burn?
Numbness in a finger after a burn suggests a severe injury, likely affecting below the dermis and damaging nerves, leading to abnormal sensations and numbness. After a finger is burned, it should be immediately rinsed with cold or running water for at least thirty minutes to cool the burn down. Then, proceed to a hospital for proper care, such as disinfection, wrapping with gauze for protection, and possibly applying burn ointment to promote recovery. Follow the doctor's instructions for daily dressing changes, and take antibiotics as prescribed to prevent and treat infections.
If you are allergic to lobster, will you be allergic to other seafood?
When allergic to lobster, consuming other seafood may also trigger allergies. Therefore, in terms of diet, besides avoiding lobster, other seafood, as well as fruits like mango, should also be avoided. Additionally, when outdoors, it's important to be mindful of the environment to reduce exposure to pollen that can cause allergies. It's also advisable to avoid spicy, sour, or pungent foods and yeast-containing products. Drinking more water and eating fresh vegetables and fruits is recommended. Engaging in regular exercise to strengthen the body can help reduce the frequency of allergic reactions. Furthermore, it is suggested to undergo further medical examinations at a hospital to identify specific allergens and prevent future allergic incidents that could pose dangers. If an allergic reaction occurs after eating, immediate oral administration of antihistamines such as cetirizine or loratadine is necessary to prevent worsening of the condition, or seek immediate medical treatment at a hospital. (Medication should be taken under the guidance of a physician.)
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.
How many days do I need to apply ointment for a burn on my finger?
The duration of applying medication for a finger burn depends on the severity of the burn. If the burn is minor, medication is generally applied for two to three days until the pain is not significant, and then it may no longer be necessary to apply medication, as mild burns only affect the epidermis and relief from pain is sufficient. If the burn is more severe, medication may need to be applied for a longer period. Therefore, it is crucial to immediately rinse the burn under running water for at least half an hour to cool it down and minimize further progression of the burn. This action is beneficial for recovery. Additionally, if the burn is quite severe, it is advisable to seek prompt medical treatment at a hospital.