Community Health Network

Burns
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Burn - First Degree

First Aid - Burn - Chemical

First Aid - Burn - Thermal

Definition

A burn is a heat (thermal), chemical or electrical injury to the skin

Degrees of Burns:

1st degree - Reddened skin without blisters
2nd degree - Reddened skin with blisters (Heals from the bottom up, not from the edges. Takes 2 to 3 weeks.) Small closed blisters contain protective chemicals, serve as a dressing and reduce pain.
3rd degree - Deep burns with white or charred skin. Skin sensation is absent. Usually needs a skin graft to prevent bad scarring if it is larger than a quarter (1 inch) in size. (Heals from the edges)

If not, see these topics

SUNBURN

First Aid:

First Aid Advice For Burns From Heat

Immediately (don't take time to remove clothing) put the burned part in cold tap water or pour cold water over it for 10 minutes.
For burns on the face, apply a cold wet washcloth. (Reason: lessen the depth of the burn and relieve pain).

First Aid Advice For Burns From Chemicals

Remove any contaminated clothing.
Flush the chemical off the skin with warm water for 10 minutes. For large areas, use a shower.

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When to Call Your Doctor

	Call 911 Now (your child may need an ambulance) If
	For all thermal or chemical burns, see FIRST AID Large 2nd or 3rd degree burn Difficulty breathing with burn to the face
	Call Your Doctor Now (night or day) If
	For all new thermal or chemical burns, see FIRST AID You think your child has a serious burn Blister is present (EXCEPTION: small closed blister less than ½ inch size) Eye or eyelid burn Burn completely circles an arm or leg Center of the burn is white or charred Electrical current burn Explosion or gun powder caused the burn Acid or alkali burn Chemical burn that causes a blister House fire burn Severe pain persists over 2 hours after pain medicine Burn looks infected
	Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If
	You think your child needs to be seen
	Call Your Doctor During Weekday Office Hours If
	You have other questions or concerns Burn isnâ€™t healed after 10 days
	Parent Care at Home If
	Mild heat or chemical burn and you don't think your child needs to be seen

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HOME CARE ADVICE FOR 1ST DEGREE BURNS OR SMALL BLISTERS

Pain Medicine: For pain, apply cold compresses and give acetaminophen (e.g., Tylenol) or ibuprofen for a few days.
Cleansing: Wash the area gently with warm water. Avoid soap unless the burn is dirty. (Reason: Soaps can slow healing).
Closed Blisters: Don't open any small closed blisters - the outer skin protects the burn from infection.
Antibiotic Ointment: For open burns, apply an antibiotic ointment (over-the-counter) and cover it with a Band-Aid. Change the dressing every other day. Use warm water and 1 or 2 gentle wipes with a wet washcloth to remove any surface debris.
Expected Course: It will probably hurt for 2 days and peel like a sunburn in about a week. Fortunately, first- and second-degree burns don't leave scars.
Call Your Doctor If:
- Severe pain persists over 2 hours after pain medicine given
- Burn starts to look infected (pus, red streaks, increased tenderness)
- Burn isn't healed after 10 days
- Your child becomes worse

And remember, contact your doctor if your child develops any of the "Call Your Doctor" symptoms.

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Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Author and Senior Reviewer: Barton D. Schmitt, M.D.

Last Reviewed: 1/19/2009

Last Revised: 8/5/2007

Content Set: Pediatric HouseCalls Online