How you should manage a burn injury

This post is the first in a series about skin problems. I frequently see skin rashes, lesions, and trauma in my family medicine practice, and I am a distributor for a skin care product company (see my about page).

Burns are one of the most painful and difficult skin conditions physicians treat. You’ve likely sustained some type of burn yourself, maybe a sunburn, a burn from hot cooking oil, or from accidental contact with open flames. Burns range from minor to life threatening.

 

How to ensure effective burn recovery

by Jamie Costello (author bio below)

 

Identify burn type and severity

The type of treatment for your burn will depend on the cause and severity. There are different types such as

• chemical
• electrical
• scalding
• thermal/fire
• ultraviolet light/sun exposure

In general we identify three levels of burns – first, second and third degree, based on how deep into the skin the burn extends. You might have one or all of these from a single injury. Each leads to its own unique problems and thus require varying levels of treatment.

 

 

First Degree Burns-superficial (includes sunburn)

Your symptoms may include things such as

• redness
• swelling
• pain
• skin peeling during healing.

Treatment is simple for these types of burns as a result. It includes

• soaking or rinsing the wound in cold water,
• taking over the counter pain relievers as needed
• apply aloe vera to soothe the skin
• applying antibiotic ointment
• Cover with non stick gauze to protect the area.

Fortunately these burns rarely leave scars.

The wellness site  mindbodygreen lists several other uses of aloe vera gel. 

 

Second Degree Burns-partial- thickness

Second-degree burns are typically worse.

Symptoms are similar to first degree but more painful and includes blistering. The blisters usually pop spontaneously or a physician may open them; after opening, the burn will seep fluid, giving the burn a weeping appearance.

It is vital that this type of burn is kept clean and bandaged so as to prevent infection.Since this is now an open wound, it can more easily become contaminated with bacteria. Otherwise, the treatment is typically the same as superficial burns, with added emphasis on keeping it wrapped.

A second-degree burn will typically heal in around three weeks without scarring, though it may leave permanent skin discolouration.

 

Third Degree Burns- full-thickness

A third-degree burn is the most severe type of burn you might experience. These burns cause a waxy colouring, charing, dark brown colouration to the skin, leathery texture, as well as blisters which never develop.

These burns require evaluation in a medical facility, preferably an emergency room, and victims usually are admitted to a specialized burn unit in a hospital. Often there are other traumatic injuries such as bruises and broken bones.

If you do receive third-degree burns, then you will always experience scarring and skin contracture(tightening or shrinking).  A lot of the time the only way to treat this is with surgery, in particular, cosmetic surgery  after the fact.

There are only particular treatments that are available to treat a patient for a burn depending on its severity. A common treatment however is skin graft. This is where skin is removed from one area of the body and transferred to another via a skin cutting tool known as a dermatome.

The recovered area is then dressed and repaired with stitches. This can be an option for patients but it’s important to remember that no matter what procedure is chosen, it can take several weeks to recover. During my time of observing and assisting Gary Ross, a cosmetic surgery specialis, the wellbeing of patients after treating scars was evident and patients were strongly advised that they should care for themselves correctly.

 

 

This link from healthline.com shows graphic photos of burn injuries, use caution.

Burns Gallery

 

Possible Complications

The risk of complications for regular burns are relatively slim, but your chances rise much higher if you suffer from a third-degree burn.These often cause excess blood loss leading to shock which may lead to death in extreme cases.

All burns carry the risk of becoming infected due to bacteria entering the broken skin. This is why it is important to keep more severe burns clean and under wraps to avoid serious complications such as sepsis.

Extensive and/or deep burns may eventually require skin grafting.

If you have anything other than a minor superficial burn, you may need vaccination to prevent tetanus infection.  MedicalNewsToday offers this explanation of tetanus.

“Tetanus, also called lockjaw, is a serious infection caused by Clostridium tetani. This bacterium produces a toxin that affects the brain and nervous system, leading to stiffness in the muscles.

 

If Clostridium tetani spores are deposited in a wound, the neurotoxin interferes with nerves that control muscle movement.

The infection can cause severe muscle spasms, serious breathing difficulties, and can ultimately be fatal. Although tetanus treatment exists, it is not uniformly effective. The best way to protect against tetanus is to take the vaccine.”

 

 

Minimizing  and dealing with scarring

Burns will always naturally heal over time, but they can leave unseemly scarring behind in their wake. Treating the healed burn with aloe vera and other moisturizing type creams may avoid this. For an added benefit this will also likely help with your pain management.

Burns can be extremely painful, but if you treat them correctly as soon as you receive one you can avoid the worst of the pain and scarring.

• Assess the severity of your burn
• Treat with initial basic care as described
• Get help when needed. for more severe burns.

Otherwise, you may end up with burn complications and scarring that could have been minimized or prevented.

 

Prevention of burns and promoting home safety

Not all burns happen because of fires. Household chemicals, scalding water, and household appliances can also cause burns. Here are some fire and burn prevention and safety tips for your home from familydoctor.org

Preventing burns in your home

 

“Think about how you would get out of your home in a fire emergency. Make a family escape plan and have regular fire drills at home. Designate a meeting place outside your home in case there is a fire.”

 

Check out this  First Aid Guide for treating burns at home from skinsight.com

Remember, a third degree and some second degree burns will require professional attention, but here is what to do initially.

Burn First Aid

“It is important to try to assess the seriousness of a burn, which is determined, primarily, by the size of the burn and its depth. When in doubt, treat as a serious burn.”

Be prepared with a  home first aid kit

First aid is important for situations that don’t require a trip to the hospital or emergency room. Besides burns these might be

• minor cuts and scrapes
• insect bites and stings
• bruises
• minor nose bleed
• poison ivy rash

Many people put together a first aid kit for home and their car. A well-stocked first aid kit provides you with the supplies you need to be ready for most minor emergencies.

Here are suggestions for putting together a home first aid kit, or you can buy one already put together. It’s important to replace supplies as you use them, and check expiration dates on anything that expires.

First aid kit supply list from familydoctor.org 

 

Kits available from Amazon-affiliate link

Introducing my guest contributor and a final word

I want to thank my guest contributor Jamie Costello.

 

 

 

 

Jamie is a medical University student based in Manchester, United Kingdom (this is the U.S. equivalent of college). He is originally from Bristol , a town in the South West of England. He plans to go into Medical/Pharmaceutical Research once he completes his University degree.

 

The inspiration and interest to write about this topic came from Jamie’s previous work experience alongside Gary Ross, MBChB, MD, a specialist in cosmetic surgery based in Manchester England.

As part of his college course, Jamie observed multiple patient cases  at the practice. This helped to develop his knowledge of procedures, including the treatment of burns and scars.  Jamie shadowed Mr. (Dr.)  Ross in  procedures, talking with him through each treatment and learning how they were managed, including the benefit and risk of each.

He was impressed with the clinic staff’s attention to the wellbeing of patients and concern that they would continue proper follow up care of their treatments. I believe he learned a great deal that will help him to be successful in his future medical career.

When not studying he enjoys hanging out with friends, playing soccer, and opportunities to meet new people.

 

 

 

 

 

 

 

 

Jamie and I hope you have learned something useful  from this post . As always, your best source of medical advice is from your own personal physician.

If you have questions about the  seriousness of your injury, seek medical attention immediately. 

Please share this post and follow this blog for more information and inspiration to help you explore the HEART of health.

Dr. Aletha 

 

 

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