Thermal damage to the skin in everyday life and in the workplace, people often face. Negligence, negligence, confusion lead to the occurrence of burns, the treatment of which largely depends on competently rendered first aid. What to do in case of burn with boiling water so that the injury heals quickly and does not leave marks on the skin?
What you will find in this article:
The degree of burn boiling water
At the site of contact with the skin of the boiling water there is a sharp pain, redness appears, after a few minutes the blisters swell.
Blisters filled with a clear liquid, hurt, do not allow to perform the usual movements. After some time they burst, leaving unpleasant traces on the skin. Depending on the depth of the skin lesions, the consequences will disappear without a trace or remain on the skin, scars, blemishes, scars recalling an unpleasant incident.
Especially dangerous are burns with boiling water for children: children's skin is thin, so the depth of the lesion is greater than that of an adult.
- The defeat of the first degree is characterized by a slight redness of the upper layer of the skin, a slight swelling. After a few days, the burn loses its intensity and disappears altogether;
- Along with redness and swelling, second-degree burns are accompanied by the formation of blisters, which must be protected from infection. It takes about ten days to heal a second degree burn; It affects not only the epithelium and dermis, but also the soft tissues located deeper. Blisters form on the skin, which, bursting, leave scabs, there is a great danger of suppuration. After the burn has healed, scars and scars remain;
- The most severe damage with long exposure to hot fluid leads to the development of pain shock and tissue necrosis.
How to help at home
It is very important not to get lost in the first minutes and to organize the correct help. Before proceeding directly to therapeutic measures, you need to remember:
- First and second degree burns are treated on their own, with more serious skin lesions, medical assistance is required;
- The area of a person’s palm is approximately 1% of the total skin area. If more than 15% of the body is burned, physicians are needed;
- Head and face burns are considered the most dangerous, since there is a high risk of injury to the eyes and respiratory tract.
Boiling water burns are not uncommon in case of careless handling of liquids in everyday life, hands and feet are most often affected.
Before you treat the wound surface, you need to remove clothes from the body and remove hot water.
- The very first remedy for burns with boiling water is cold. If possible, the affected skin area is placed under a stream of cool water for 15-10 minutes. It is important to know that icy water will cause hypothermia, so you need to monitor the condition of the victim.
- If the area of the affected skin area is large or it is not possible to treat the skin with running water, you can apply cold, ice, wrap the burnt area with a damp cloth. Wet compresses change every 4-5 minutes; it is not recommended to cool the skin for longer than half an hour. However, if the pain and burning sensation reappear, it is possible, after a short break, to provide the hypothermic bandage again.
- Burns should be cooled immediately, no later than two hours after exposure to boiling water.
- Before blisters appear on the skin, after cooling, a sterile gauze dressing is applied, dry or wet-drying. Pharmacies sell special post-burn dressings, but if it is not at hand at the time of the burn, then panthenol, olazol is applied under the bandage, you can treat the wound with antiseptics like furacilin solution or chlorhexidine to prevent infection.
- If the pain is strong, it is worth treating the wound topically with anesthetics (lidocaine, novocaine) or take the pill inside.
- Burnt limbs are kept raised to reduce swelling.
- Shallow burns heal on their own quickly enough, more serious injuries require medical consultation and, in some cases, hospitalization.
After the initial burn treatment, the skin is protected from infection by a sterile dressing.
Types of dressings:
- Gel bandages and wipes have a wound-healing effect, soothe burning and itching, cool the burned surface and prevent the ingress of pathogenic microflora. In case of shallow burns, a timely gel bandage will not allow blisters to appear on the skin. It is very important that the damaged area of the skin is moistened, and the bandage does not stick to the wound, allowing, at the same time, local anesthesia of the burn through the material.
- Ointment dressings impose to stimulate the formation of granular tissue. Variants of such dressings: with levomekolom, two percent furatsilinovoy ointment, dioksikolom, miramistinom, ointment Lavendula.
- Salt dressings are used for disinfection with mild shallow burns. Salt - a strong antiseptic, a bandage can be prepared independently. In order not to harm the small blood vessels, the concentration of saline should not be more than 10% (10 g of salt per 90 g of water). A cotton, linen cloth, bandage or gauze is impregnated with a saline solution, lightly wrung out and bandaged the wound. In no case can not wrap the bandage film and make a compress, as this will increase the temperature of the skin at the site of the burn and exacerbate the situation.
A wide selection of dressings for the treatment of burns is offered by the pharmaceutical company Paul Hartmann.
- Brandolindovaya dressing with a Peruvian balsam heals shallow burns and has antiseptic properties. Contraindicated in people with allergies to substances that are part of the Peruvian balsam.
- The bandage, impregnated with Ringer's solution, has a high adsorbing ability, cleans the wound and absorbs exudate, provides the necessary hydration of the skin.
At home, a weak light pink solution of potassium permanganate can be used to treat the wound.
At the stage of epithelial regeneration, drugs that promote this are used to speed up the granulation process: bepanten, solcoseryl, dexpanthenol. They can also be used to treat shallow burns in children.
Separately, it should be said about cases when the face is burned with boiling water: even with a superficial exposure to the skin of boiling liquid, one should seek medical help to rule out complications.
How to treat burns if there are no drugs on hand? For tissue healing, traditional medicine recommends:
- After 10-12 hours, the place of the burn is treated with sea buckthorn oil, it promotes rapid regeneration of the skin, eliminates pain and itching;
- Aloe has a strong wound-healing and regenerating effect: juice or pulp of fresh leaves is applied to the skin under a sterile dressing;
- Several times a day, a mixture of raw grated potatoes and honey is applied to the affected area (1 tsp. For 1 medium potato);
- 1 tbsp. l oak bark brew 0.25 liters of boiling water, insist 20 minutes. Infusion wash the affected areas, moistened wipes applied for a few hours under a sterile dressing;
- Soothe pain and relieve inflammation of gruel from fresh chopped burdock leaves;
- Antiseptic and wound healing effect has carrot juice and pulp. Grated carrots are applied to the burned area of the skin under the bandage;
- Helps lotions of pumpkin juice or fresh pulp under the bandage;
- Bandages are impregnated with the juice of lingonberry or chokeberry, you can not apply to open wounds;
- Apply softened cabbage leaves under the bandage;
- In order to soothe the pain and relieve inflammation, fresh fatty cottage cheese is applied to the burned area;
- The areas affected by boiling water are covered with apple slices or grated apple pulp is applied.
What not to do with burns
First aid measures are not always correct, which leads to a worsening of the situation and the development of complications:
- It is impossible to lubricate the skin immediately after the burn with oils, fatty dairy products (sour cream, yogurt), because the oily film prevents the natural cooling of the skin and makes the situation heavier. Cream, oil, sour cream can only be used after the surface is cooled;
- It is forbidden to tear off the lagged areas of the skin, to pierce the blisters and dropsy, because there is a high risk of introducing an infection into the wound, causing inflammation and suppuration;
- The skin at the site of the burn is not smeared with brilliant green, iodine, alcohol, so as not to injure it even more;
- If the bandage is stuck to the burn, do not forcibly tear it off. Cork should be soaked with a warm solution of furatsilina, hydrogen peroxide, chlorhexidine or other antiseptic. If it is not possible to do this on your own, it is better to contact a medical institution;
- If a burn burns under a bandage, urgently seek medical help.
It is necessary to carefully monitor the sterility of the skin at the site of the burn, for all the changes that occur to prevent infection and inflammation. Deep burns can lead to scarring, but modern pharmacology offers a large number of drugs that promote uniform healing and prevent consequences. Serious burns heal should be monitored by a doctor, if necessary - in a hospital. The specialist will tell you how many times to change the dressing and which drugs to use for healing, negligence and amateur activities can seriously harm the health and appearance.