Should the burned skin on the finger be cut off?

Written by Li Xiao Lin
Emergency Department
Updated on January 17, 2025
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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.

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Written by Wang Xiang Li
Emergency Medicine
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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.

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Written by Wang Xiang Li
Emergency Medicine
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What should I do if it swells after being scalded by boiling water?

After a scalding injury with boiling water that causes swelling, it is essential to first soak the affected area in running tap water or cold water for at least half an hour to reduce the skin temperature. If the burn is severe, not only showing swelling but also skin rupture, one should apply some ointment and then wrap it with gauze to keep the dressing clean and prevent infection, which can promote healing of the wound surface and reduce swelling more quickly. After a scald, the permeability of capillaries in the tissues notably increases, causing fluid from the vessels to seep into the interstitial space or outside the body, leading to tissue edema. It is beneficial to elevate the affected limb to increase the blood flow returning to the circulation, thereby alleviating the severity of the swelling. If the burn is severe enough to require surgery, skin grafting or flap surgery might be necessary.

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Written by Li Xiao Lin
Emergency Department
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What should I do if my finger gets burned and starts oozing pus?

Finger burns have developed a pus discharge, indicating a severe infection at the burn site. Once an infection occurs, in addition to disinfection, oral antibiotics should be administered for anti-infection treatment. Disinfection may need to be carried out once or twice daily. The disinfection process involves washing with saline solution, then further sterilization and disinfection with hydrogen peroxide. After rinsing with saline, re-disinfect with iodophor, and then cover with gauze and dressing. Gentamicin can be applied on top of the gauze to promote healing and improvement of the infection. If oral medications are ineffective, intravenous antibiotic infusion may be necessary for anti-infection treatment. (Medication use should be supervised by a professional doctor.)

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Written by Wang Xiang Li
Emergency Medicine
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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.)

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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.)