Are second-degree burns serious?

Written by Li Xiao Lin
Emergency Department
Updated on March 03, 2025
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Second-degree burns are serious and are classified into superficial and deep second-degree burns. Superficial second-degree burns manifest as local redness, swelling, pain, and blister formation. Deep second-degree burns primarily affect the dermis, resulting in tissue necrosis and nerve damage, which are indicated by local pain and abnormal sensations. For both superficial and deep second-degree burns, it is necessary to immediately rinse the affected area with running cold water for at least half an hour, or until the pain eases. Afterward, it is essential to go to a hospital for thorough disinfection with iodophor to prevent infection. For deep second-degree burns, debridement is also necessary, and skin grafting may be required to facilitate tissue recovery. However, certain sequelae may remain, so it is crucial to follow the doctor's instructions to change dressings regularly. Additionally, attention should be paid to diet; avoid spicy, stimulating, and fermenting foods. Drinking more water and consuming fresh vegetables and fruits to supplement vitamins, as well as high-protein and high-nutrient foods, are beneficial for recovery.

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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.

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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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What should I do if it itches after a burn?

Itchy after scalding may be a mild itching sensation that appears during the wound healing process. This situation does not require deliberate treatment. With timely medication and dressing changes, the itchy feeling can gradually subside as the skin at the wound site heals. However, if redness and mild suppuration occur at the wound site, this indicates an allergic infection. In such cases, it is recommended to clean and disinfect with iodophor, followed by the external application of antibacterial medication and dressing, which can help treat the infection and promote healing at the site. If necessary, oral cephalosporin medications can be taken for combined treatment, which is more conducive to promoting healing. Additionally, during the recovery period, it is important to keep the wound dry and sanitary, avoid contact with water, and not consume spicy and irritating foods, to avoid affecting the healing of the wound.

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How to deal with a burn on the finger that has not broken the skin

After accidentally burning a finger, even if the skin isn't broken, it should be treated quickly to prevent further absorption of heat and further damage to the skin, soft tissue, and muscles. Many skin and soft tissue burns can appear after a period of time. The burned finger should be immediately rinsed with ice water or cold water, for about 20-30 minutes. If there are ice cubes available at home, they can be used to locally apply ice. This can quickly and effectively reduce the heat damage to the skin and soft tissues, improve the prognosis, shorten the course of treatment, and at the same time, attention should be paid to prevent infection.

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How to deal with peeling skin after a finger burn?

After a finger is scalded and begins to peel, it is essential to immediately use ice water and cool water to rinse the area, which can be done for about half an hour. If there is ice available at home, you can use ice packs for local cold compresses. This can quickly lower the local temperature and reduce further damage to the skin, soft tissues, and muscles from the heat. On the other hand, you can use appropriate ointments to prevent infections that may occur after the local skin is damaged, while also incorporating comprehensive treatments such as fluid replenishment. If there is a worsening of the local infection, it is necessary to go to the hospital for further treatment.