Burns * Treatment Options * Advice & Procedures
Skin Cures: Burn Prevention
Burns have typical and atypical patterns—typical patterns result from unintentional burns while atypical patterns may be a sign of physical abuse. Typical burns (from spilling hot liquid, for example) tend to occur in exposed areas such as the arms, face, and neck. Atypical burns may occur in unexposed areas such as the buttocks. Burns involving entire hands and feet are also not typical, neither are third-degree burns involving a very small, focused area (resembling, for example, a cigarette).
Burns are caused by exposure to thermal, electrical, or chemical sources. Thermal burns occur when hot metals, scalding liquids, steam, or flames come in contact with the skin. Exposure to electrical current causes electrical burns, and contact with caustic chemicals causes chemical burns. Prolonged exposure to the sun's ultraviolet rays or to other sources of radiation (such as from tanning booths) can also cause burns. The most serious burns are usually caused by scalding hot or flammable liquids, and fires. Exposure to chemicals and electrical currents also cause severe injury and damage to the skin.
Risk Factors: - Wood stoves, exposed heating sources or electrical cords
- Unsafe storage of flammable or caustic materials
- Careless smoking
- Child abuse
- Hot water heater set above 130°F
- Heated foods and containers
- Sun overexposure
Preventive Care
The following actions have been shown to lower the incidence of burns: - Installing smoke detectors
- Educating children about fire and burn prevention in schools
- Abstaining from smoking and heavy alcohol use
- Wearing flame-retardant clothes (particularly children)
- Planning emergency exit routes in the home, school, and workplace
- Fire drills
The following steps may help reduce the severity of a burn once it occurs: Administering first aid immediately Obtaining prompt medical attention If hospitalization is necessary, being treated by a dedicated burn unit with staff specially trained in burn care DiagnosisWhen diagnosing a burn, a healthcare practitioner will evaluate the depth and extent of the damage, the degree of pain, the amount of swelling, and signs of infection. They will classify the burn based on the depth and extent of the injury. Burns that cover a significant portion of the body, burns associated with smoke inhalation, burns resulting from electrical injuries, and burns associated with suspected physical abuse are treated as emergencies and require hospitalization. In the emergency room, all wounds are wrapped with sterile towels and patients receive oxygen (either through a mask or tube) and fluids (some patients require intravenous fluids). Patients are also evaluated for associated injuries (such as from physical abuse). Physicians may also conduct a biopsy to determine whether infection is present in the wound.
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