Distinguishing a Burn: Minor to Serious

When faced with a burn, distinguishing it can be difficult; ranging from a minor burn to a serious burn, the first step is to determine the extent of damage to body tissues. There are three burn classifications: first-degree burn, second-degree burn and third-degree burn.

1ST- DEGREE BURN:
This burn is the least serious of burns. Whereas only the outer layer of skin is burned, but not all the way through. 

• The skin is usually red
• Often there is swelling
• Pain sometimes is present

You can treat a first-degree burn as a minor burn unless it involves substantial portions of the hands, feet, face, groin or buttocks, or a major joint, which requires emergency medical attention.

 

2ND-DEGREE BURN:
This is when the first layer of skin has been burned through and the second layer of skin (dermis) also is burned, the injury is called a second-degree burn.

• Blisters develop
• Skin takes on an intensely reddened, splotchy appearance
• There is severe pain and swelling.

If the second-degree burn is no larger than 3 inches in diameter, treat it as a minor burn. If the burned area is larger or if the burn is on the hands, feet, face, groin or buttocks, or over a major joint, treat it as a major burn and get medical help immediately.

For minor burns, including first-degree burns and second-degree burns limited to an area no larger than 3 inches in diameter, take the following action:

• Cool the burn. Hold the burned area under cool running water for 10 or 15 minutes or until the pain subsides. If this is impractical, immerse the burn in cool water or cool it with a cold compress. Cooling the burn reduces swelling by conducting heat away from the skin. Don't put ice on the burn.

• Cover the burn with a sterile gauze bandage. Don't use fluffy cotton, or other material that may get lint in the wound. Wrap the gauze loosely to avoid putting pressure on burned skin. Bandaging keeps air off the burn, reduces pain and protects blistered skin.

• Take an over-the-counter pain reliever. These include aspirin, ibuprofen (Advil, Motrin, others), naproxen (Aleve) or acetaminophen (Tylenol, others). Use caution when giving aspirin to children or teenagers. Though aspirin is approved for use in children older than age 2, children and teenagers recovering from chickenpox or flu-like symptoms should never take aspirin. Talk to your doctor if you have concerns.

Minor burns usually heal without further treatment. They may heal with pigment changes. Watch for signs of infection, such as increased pain, redness, fever, swelling or oozing. If infection develops, seek medical help. Avoid re-injuring or tanning if the burns are less than a year old — doing so may cause more extensive pigmentation changes. Use sunscreen on the area for at least a year. 

• Don't use ice. Putting ice directly on a burn can cause a person's body to become too cold and cause further damage to the wound.
• Don't apply egg whites, butter or ointments to the burn. This could cause infection.
• Don't break blisters. Broken blisters are more vulnerable to infection.

3RD-DEGREE BURN:
The most serious burns involve all layers of the skin and cause permanent tissue damage. Fat, muscle and even bone may be affected. Areas may be charred black or appear dry and white. Difficulty inhaling and exhaling, carbon monoxide poisoning, or other toxic effects may occur if smoke inhalation accompanies the burn.
For major burns, call 911 or emergency medical help. Until an emergency unit arrives, follow these steps:

1. Don't remove burned clothing. However, do make sure the victim is no longer in contact with smoldering materials or exposed to smoke or heat.
2. Don't immerse large severe burns in cold water. Doing so could cause a drop in body temperature (hypothermia) and deterioration of blood pressure and circulation (shock).
3. Check for signs of circulation (breathing, coughing or movement). If there is no breathing or other sign of circulation, begin CPR.
4. Elevate the burned body part or parts. Raise above heart level, when possible.
5. Cover the area of the burn. Use a cool, moist, sterile bandage; clean, moist cloth; or moist cloth towels.

Get a tetanus shot. Burns are susceptible to tetanus. Doctors recommend you get a tetanus shot every 10 years. If your last shot was more than five years ago, your doctor may recommend a tetanus shot booster.

Help from mayoclinic.com

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Ouch! Ice Burns do Exist

Most schools are back at it already. This means that the school athletes are back at work too and lots of injuries will soon happen: sprains, strains, etc.

 

 

The treatment recommendation for a sprain or strain is usually RICE which stands for Rest, Ice, Compression, and Elevation.  Unfortunately, by using ice and placing the ice pack directly onto the skin can cause ice burn!

 

Yes, ice can burn the skin and cause frostbite as well. When treating an injury with ice you need to make sure that you put a towel or sheeting between the ice and your skin.  In some cases the ice burns look similar to a sunburn, and may not blister or cause any severe damage. You might realize you have an ice pack burn if you develop blisters, if your skin is yellowish-gray in color, or if it feels numb, itchy or painful with a burning sensation.

Treating Blisters

Blistering is a sign of an ice pack burn, just as with heat burns. Treating the blisters appropriately will help avoid infection and further complications. You may develop an open wound as a result of incorrect usage of an ice pack; treat the wound as you would any other, with antibiotic ointments, a barrier substance such as petroleum jelly, and gauze bandages to keep the area moist and free of infection. If the blistered area is large, you might need to change the dressings and re-apply first aid to the area for up to 10 days.

 

Professional Medical Attention

An ice pack burn or frostbitten area that does not begin to tingle, burn or regain a pinkish hue may be the sign of more extensive damage of the blood vessels and muscles underneath the skin. If the burned area stays numb with skin that feels hard and cold, you may need professional medical attention. Contact your family doctor to determine what course of action to take to avoid complications such as nerve damage and gangrene. Remember, ice is good for injuries but cannot be applied directly to the skin. 

 

For more information on ice burns you can visit our offices at:

 

205 Lexington Ave  New York, NY 10016,  13th St. Urgent Care

(212) 684-4700

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