Monday, June 22, 2020

Emergency treatment for children after burns

(1) Correct common mistakes in scald treatment

1. Do not take off or pick up clothes immediately

In general, the scalds that occur in children at home are mostly superficial second and higher scalds, that is, the epidermis will blister. When the scald is covered with clothing, the blister epidermis will stick to the clothing. Immediately after taking off and picking the clothing, the watch strap will be under the watch strap, tearing the blisters, and directly exposing the wound surface. This not only accelerates the loss of body fluids in children, but also may cause wound infection and deepen the wound, which is not conducive to subsequent treatment and recovery.

2. Don't wrap things on the wound surface

The exposed wound surface + absorbent quilt may cause the loss of body fluids in children up to 15-20% of the total body blood, which directly causes shock and is life-threatening. Therefore, do not wrap the wound with any absorbent material. Quilts, tissues, etc. are not allowed.

3. Don't smear anything on the wound

Some scalds with a small area are not serious enough for the parents, so they apply a little "homework" to their children. The most common are toothpaste, sesame oil, soy sauce, vinegar, green ointment, etc. All these "earth recipes" are actually useless for scalds, but may increase the chance of wound infection, deepen the wound, and increase the difficulty of treatment.

4. Don't pick up the blisters by yourself

If the blister after scalding is not broken, the child will have obvious pain. It is broken, and I do not know how to deal with it, fearing infection. In fact, scalded blisters really need to be broken, but this must be handled by a professional doctor. Generally, the scald caused by "scalding" is at least a second degree scald. If the blisters are not properly treated, on the one hand, the surface of the wound will continue to ooze out, forming new blisters. On the other hand, it is easy to cause wound infection.

(2) Correct emergency treatment method for scald

Remember the five-character tips: punch, cut, soak, cover, and send.

1. "Punching" is the first step and the most important step in the treatment of scalds. It can quickly and effectively reduce the temperature of the scald skin, and may even reduce the degree of scald. The child was scalded. The first time was not to pick up the clothes to check the injury, not to send it to the hospital immediately, but to put the scalded place under the flowing water and wash for more than 30 minutes. If the child can speak autonomously, it must be rushed until the child shows a significant reduction in pain. If it is inconvenient to rinse the burned area, such as the forehead and face, wrap ice cubes with a towel and continue to apply ice. The water flow should not be too large when rinsing. It must be continuous. If possible, put a piece of ice under the faucet to further reduce the water temperature. In addition, during the flushing process, you can dial 120 emergency phone, but the action of wound flushing should not stop.

2. Shearing: If the burned area is covered with clothing, the clothing has been separated from the wound under the washing of running water for more than 30 minutes. At this time, do not pull hard to avoid hitting the wound. Instead, use scissors to gently cut the clothing on the surface.

3. Bubble: If the burned area is located on the hands, feet and limbs, and the area is small, parents can soak the affected area in cold water again to continue cooling.

4. Cover: Doesn't the above tell parents not to wrap the wound? Why should I cover it again! It should be particularly emphasized here that the purpose of the "cover" is to prevent the wound from being contaminated during the medical treatment, rather than wrapping and pressing. Therefore, as long as it is slightly covered with a clean, thin cloth, parents can choose to cover with a clean thin towel.

5. Delivery: After completing the above steps, immediately send to the nearest hospital for treatment of wounds.

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