Burns
Burns can be caused by fire, the sun, chemicals, heated objects or
fluids, and electricity. They can be minor problems or
life-threatening emergencies. Distinguishing a minor burn from a
more serious burn involves determining the degree of damage to the
tissues of the body. If you are not sure how serious the burn is,
seek emergency medical help.
First-degree burns are those in which only the outer layer of skin
is burned. The skin is usually red and some swelling and pain may
occur. Unless the burn involves large portions of the body, it can
be treated at home.
Second-degree burns are those in which the first layer of skin has
been burned through and the second layer of skin is also burned. In
these burns, the skin reddens intensely and blisters develop.
Severe pain and swelling also occur. If a second-degree burn is no
larger than 2 or 3 inches in diameter, it can be treated at home.
If the burn covers a larger area, seek medical attention. You may
need a tetanus booster.
Third-degree burns are the most serious and involve all layers of
skin. Fat, nerves, muscles, and even bones may be affected. Areas
may be charred black or appear a dry white. If nerve damage is
substantial, there may be no pain at all. These burns should
receive emergency medical attention.
Follow these steps when treating minor burns at home:
1.If the skin is not broken, run cool water over the burn for
several minutes.
2.Cover the burn with a sterile bandage or clean cloth.
3.Take aspirin or acetaminophen to relieve any swelling or
pain.
Seek emergency treatment immediately for major burns. Until an
emergency unit arrives, follow these steps:
1. Remove the person from the source of the burn (fire, electrical
current, etc.).
2. If the person is not breathing, begin mouth-to-mouth
resuscitation immediately (see Mouth-to-Mouth Resuscitation).
3. Remove all smoldering clothing to stop further burning.
4. If the person is breathing sufficiently, cover the burned area
with a cool, moist, sterile bandage or clean cloth. Do not place
any creams, ointments or ice on the burned area or break
blisters.
