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Management for burn as immediate action are:
- “Stop, Drop, and Roll” to smother flames.
- Try to remove all burned clothing. If clothing adheres to the skin, cut or tear around burned area.
- Try to remove all jewelry, belts, tight clothing, etc., from over the burned areas and from around the victim’s neck. This is very important; burned areas swell immediately.
State of burns
First-Degree Burns
First-degree burns involve the top layer of skin.
Signs:
- Red colour
- Very painful to touch
- Skin will show mild swelling
- Apply cool, wet compresses, or immerse in cool, fresh water. Continue until pain subsides.
- Cover the burn with a sterile, non-adhesive bandage or clean cloth.
- Do not use ointments or butter to burn; these may cause infection.
- Over-the-counter pain medications may be used to help relieve pain and reduce inflammation.
- The first degree burns usually heal without further treatment. However, if a first-degree burn covers a large area of the body, or the victim is an infant or elderly, seek emergency medical attention.
Second-Degree Burns
Second-degree burns involve the first two layers of skin.
Signs:
- Deep reddening of the skin
- Pain
- Come to blisters
- Glossy appearance from leaking fluid
- Possible loss of some skin
- Immerse in fresh, cool water, or apply cool compresses. Continue for 10 to 15 minutes.
- Dry with clean cloth and cover with sterile gauze.
- Do not break blisters.
- Do not apply ointments or butter to burns; these may cause infection
- Take steps to prevent shock: lay the victim flat, elevate the feet about 12 inches, and cover the victim with a coat or blanket. Do not place the victim in the shock position if a head, neck, back, or leg injury is suspected, or if it makes the victim uncomfortable.
- Further medical treatment is required. Do not attempt to treat serious burns unless you are a trained health professional.
A third-degree burn penetrates the entire thickness of the skin and permanently destroys tissue.
Signs:
- Loss of skin layers
- Often painless. (Pain may be caused by patches of first- and second-degree burns which often surround third-degree burns).
- Skin is dry and leathery
- Skin may appear charred or have patches which appear white, brown or black
- Cover burn lightly with sterile gauze or clean cloth. (Do not use material that can leave lint on the burn).
- Do not apply ointments or butter to burns; these may cause infection
- Take steps to prevent shock: lay the victim flat, elevate the feet about 12 inches.
- Elevate burned area higher than the victim’s head when possible. Keep person warm and comfortable, and watch for signs of shock.
- Do not place a pillow under the victim’s head if the person is lying down and there is an airway burn. This can close the airway.
- Immediate medical attention is required. Do not attempt to treat serious burns unless you are a trained health professional.
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