Burns and scalds are damage to the skin usually caused by heat. Both are treated in the same way. A burn is caused by dry heat – by an iron or fire, for example. A scald is caused by something wet, such as hot water or steam.
First-degree burns affect only the outer skin layer. The skin is red, slightly swollen and painful to touch. Sunburn usually falls into this category.
Second-degree burns go into the second skin layer and appear as blisters on red, splotchy skin.
Third-degree burns involve all layers of the skin – even underlying tissue. These serious burns are often painless due to nerve destruction. They appear as charred black or dry and white areas.
What NOT to do when treating Burns
Put ice, butter, grease, ointments, creams or oils on a burn
Peel off any clothes
Break or burst any blisters
Use fluffy materials – for example: cotton wool, which will stick to the burned area
Help the patient to lie down, ensuring the burnt area does not come into contact with the ground
Douse the burnt area with cool liquid for at least 20 minutes
Carefully remove clothing from around the burnt area and remove any constricting items such as watches, belts etc. before swelling begins
Cover burns with a sterile dressing – Cling film laid lengthways over the burn works well
For burns to the airway, loosen clothing around the neck, offer ice or small sips of cold water
Continue to monitor the patient’s medical status using the Cycle of Care until Emergency Services arrives
Monitor and record vital signs whilst managing the patient for shock
Flush or soak the burn in cool water for at least 20 minutes, and where possible, remove any jewellery, watches, belts or constricting items from the injured area before it begins to swell
Cover with cling film, a burns dressing or if the burn is on a hand insert it into a sterile plastic bag
Never rush to dress a burn as the most important treatment is to cool the burn under cool running water
Check a burn daily for signs of infection – redness, tenderness or presence of pus (yellowish or greenish fluid at wound site)
Have all burns assessed by a medical professional
Rutland First Aid training provides a full suite of first aid training all tailored to your needs. We strongly recommend that everyone has some basic first aid skills, so why not attend one of our CPR and AED courses and know how to do CPR - you could be the difference between your family member or even work colleagues survival
Rutland First Aid Training provides this information for guidance and it is not in any way a substitute for medical advice. Rutland First Aid Training is not responsible or liable for any diagnosis made, or actions taken based on this information
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