Scald

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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.

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Written by Wang Xiang Li
Emergency Medicine
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Can you drink alcohol after being scalded by oil?

After being scalded by oil, one should not drink alcohol, as alcohol can accelerate local blood circulation at the burn site, thereby worsening local congestion, swelling, and pain, and also prolonging the healing time of the wound. Therefore, after being scalded by oil, it is not advisable to consume beer, spirits, fruit wines, or yellow wine. Patients also need to be mindful of their diet and avoid consuming spicy foods such as raw onions, raw garlic, chili peppers, and leeks, which, like alcohol, can cause an increase in local congestion, swelling, and pain.

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Written by Wang Xiang Li
Emergency Medicine
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How to relieve pain after a burn or scald

Cold therapy is the best way to alleviate pain after a burn. Firstly, you should use running tap water or cold water to soak the affected area for more than half an hour. This can prevent heat from continuing to affect the wound and can dull the peripheral nerves in the area, reducing pain, exudation, and swelling. Secondly, you can apply some dilute saltwater to the wound to relieve pain and reduce inflammation, and then apply burn ointment to the burned area. In severe cases, oral pain relievers such as ibuprofen can be taken, and if necessary, pain medication can be administered via muscle injection. If the burned area is large, it is necessary to go to the hospital for formal treatment in a timely manner.

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Written by Wang Xiang Li
Emergency Medicine
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What to do if the pain persists after a burn?

After a burn, the pain persists primarily because the wound was not properly treated. The most common and simplest method in the early stages of a burn is to soak the burn in cold water or rinse it under running water for over half an hour. This can help wash away the residual heat on the surface, especially making it more effective for acid or alkali burns. Alternatively, you can use an ice pack to cool the area. After cooling, apply some burn ointment. If the pain is severe, pain-relieving medication can be used to treat symptoms, such as ibuprofen. If the pain is unbearable, it is advised that the patient should go to the hospital for timely examination and symptomatic treatment.

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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 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 Chen Xiao Jun
Emergency Department
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What should I do about the dead skin from a burn on my finger?

Generally, after a finger is scalded, damage occurs to the skin's soft tissues, and some of the skin may necrotize. Once necrosis sets in, the blood supply to the affected area becomes poor. At this point, it is necessary for the body to promptly remove this dead skin. It is best to have debridement under the guidance of a physician to remove the necrotic skin and soft tissue; otherwise, these necrotic tissues can easily become infected, which in turn can cause harm to the body. Therefore, after necrosis occurs following a finger scald, it is advisable to immediately visit the emergency department of a hospital for debridement. Removing the necrotic tissue and performing proper dressing and disinfection will promote the rapid recovery and healing of the skin tissues.

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Written by Wang Xiang Li
Emergency Medicine
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How long will it take for a burn with broken skin on the finger to heal?

When a finger is scalded, local symptoms such as swelling, redness, heat, and pain—an inflammatory response—will occur. The patient will experience significant pain and a burning sensation. Under these circumstances, it is essential to clean the wound promptly to prevent infection. If there is broken skin, it needs to be disinfected with hydrogen peroxide, then rinsed with saline solution, followed by an application of iodine. It is important to keep the skin at the broken site dry and avoid contact with water and contaminants. With such treatment, the broken skin typically forms a scab within about a week. After another week, the skin in the affected area will heal and regenerate.

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Written by Wang Ji Zhong
Internal Medicine
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What should I do if I have an esophageal burn?

Esophageal burns are a common and frequently occurring condition caused by consuming food or for other reasons where the temperature is too high, which damages the mucous membrane of the esophagus. At that time, one should immediately stop eating to reduce harm to the body. For mild cases, one can orally take egg whites or milk to protect the injured esophageal mucosa. Severe cases need to go to the hospital for medical treatment, take gastric mucosal protectants to prevent the formation of esophageal mucosal scars, prevent esophageal stricture, and at the same time, receive intravenous fluids, enhance nutritional support, supplement necessary vitamins, and can also use some drugs that promote the recovery of the esophageal mucosa, minimizing the damage of esophageal burns to the body.

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Written by Li Xiao Lin
Emergency Department
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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.