Scalding that causes the skin to peel off is classified as a second-degree burn.

Written by Li Xiao Lin
Emergency Department
Updated on January 14, 2025
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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.

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How to deal with a skin scald that has broken the skin?

After a skin burn breaks the skin, if the area is relatively small and there is no obvious swelling, a moisturizing burn ointment can be applied. If the area is larger and accompanied by some exudation and swelling, it is necessary to go to the hospital for timely treatment. Under the guidance of a doctor, antibiotic ointment should be applied, and oral antibiotics should be taken. Common choices include Cefalexin, Cefradine dispersible tablets, and erythromycin for anti-infection treatment. Antibiotics can be used if there is no allergic reaction to them. If severe burn symptoms occur, combined with serious infections, swelling, and significant exudation, it is crucial to go to the hospital for medical treatment immediately. Severe cases may require hospitalization. Do not scratch the skin yourself, and avoid spicy and irritating food.

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Can a burnt finger be wrapped up?

Burned fingers should not be wrapped up. A finger burn occurs when the skin and soft tissues of the finger are damaged by hot water, causing an inflammatory response, which can lead to symptoms such as redness, swelling, heat, and pain, and severe cases can cause necrosis of the skin and dermis. If wrapped up, the temperature of the burned finger cannot decrease, which might worsen the degree of the burn. Generally, after a finger burn, it is advisable to quickly soak or rinse the finger in cold or running water for at least about half an hour to lower the temperature of the finger. This can reduce the severity of the burn and thus protect the finger.

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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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Will a burn leave a scar?

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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Can the blisters from a burn be punctured?

Whether to rupture the blisters that appear after a burn depends on the situation. If the blisters caused by the burn are relatively small, it is not necessary to puncture them, as this is better for the skin and can provide protection. However, if the blisters that appear after the burn are large, it is advisable to rupture them, because if the blisters are too large, the fluid cannot be completely absorbed by the body, which can hinder healing.