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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Written by Li Xiao Lin
Emergency Department
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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.

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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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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 Chen Xiao Jun
Emergency Department
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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.

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Written by Huang Ling Juan
Dermatology
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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.