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Preventing and Treating Burns and Scalds in Children: Simple First Aid Methods and Common Sense

[Voice of Hope August 20, 2023](Editor: Li Wenhan) In daily life, accidental injuries always happen inadvertently. , Burns are the most common. Among the children aged 0-6 who were hospitalized due to accidental injuries, more than half of them were due to burns and scalds. Among these children, more than 90% were scalded by boiling water, hot porridge, and hot soup.

Since children have not yet developed sufficient awareness of injuries and dangers, and their mobility and range of activities have been significantly enhanced, if parents neglect to take care of them, accidental injuries such as burns and scalds are likely to occur. If you can master simple first aid methods and common sense, and deal with it in time and correctly when an accident occurs, you can often directly reduce the severity of the injury and avoid more serious injuries.

burn (photoAC)

Under the premise of ensuring our own safety, we can first move the injured to a safe area, immediately cool down, and perform simple treatment.

When the following situations occur, emergency calls should be made immediately:

1. It was found that the children had a large area of ​​burns and scalds.

2. There is an open flame on the scene, and the child cannot be transferred to a safe area.

3. The child has suffered electrical injury.

4. When you don’t know how to deal with the injury.

In the event of a burn or scald, the correct approach is to “wash, take off, soak, cover, and send”

Just flush. Simply put, water is used to reduce the temperature of the body surface, effectively reducing the heat that causes burns and scalding, and no longer continuously burns the skin. After children are burned or scalded, the scalded area should be washed with cold water (10-20 degrees Celsius), and the washing action can be stopped when the pain disappears. The general flushing time is 20 to 30 minutes. At the same time, attention should be paid to controlling the water flow rate to avoid excessive flow rate. When chemical substances are considered to be the cause of injury, gloves should be worn to pat off the powdery substances, and avoid flushing immediately, because the residual solid powder may turn into liquid when it meets water, causing more damage.

burn (photoAC)

The ironed clothes should be taken off in time. This is because there will be a lot of heat remaining on the clothing, which will most likely increase the degree of burns. If the clothes on the burnt area have already stuck to the skin, do not take off the clothes forcibly at this time, because it is very likely that the intact skin will be taken off, causing more serious injuries to the child. In this case, you should take your child to see a doctor as soon as possible.

When conditions permit, the wound can be soaked in cold water for about 30 minutes, so as to reduce the damage to the skin caused by burns and scalds.

Choose a clean gauze or towel to cover the wound to avoid infection. Children with burns (burn area > 10%) should keep warm during cold therapy. Avoid hypothermia. The injured can be wrapped in clean quilts and blankets. If not, a clean nursing pad or plastic sheet will do.

burn (photoAC)

When there is a large area of ​​burns, it is not advisable to flush, because flushing at this time will cause the body temperature to drop rapidly. At this time, keep warm to avoid hypothermia. For example, a patient with extensive burns rescued from a fire scene is not suitable for flushing or soaking in water. At this time, we must pay attention to keeping warm so as not to lose temperature. Immediately sending to the hospital is the next step.

Some parents choose to smear toothpaste, soy sauce, etc. on the wound in order to disinfect and sterilize their children’s wounds and relieve the pain of the wounds. This is wrong.

Although toothpaste has an anti-inflammatory effect to a certain extent, applying it on the wound surface not only cannot resist infection, but also increases the difficulty of follow-up treatment, affecting medical staff to correctly judge the degree of burns and scalds.

When soy sauce is applied to the wound, the salt in the soy sauce will cause severe dehydration of the cells on the wound, just like sprinkling salt on the wound, which will aggravate the damage. In addition, bacteria contained in soy sauce may also cause wound infection. Moreover, the dark brown pigment contained in soy sauce covers up the color of the wound surface, making it more difficult for doctors to judge the depth of the wound surface.

There are also some parents who use a large amount of white wine to disinfect the wound. They think that this can clean the wound, thereby achieving the purpose of disinfection and prevention of infection. This approach is also wrong.

When there is no ulcer on the wound, a small amount of white wine can cool the wound, which is only due to the volatilization of alcohol. When the wound surface is ulcerated, the use of liquor on the wound surface will not only cause severe pain to the wounded, but also aggravate the wound surface damage. The wound surface absorbs a large amount of alcohol and alcohol poisoning may occur, which is not good for the prognosis.

burn (photoAC)

In addition, ice should not be applied after burns or scalds. Although ice cubes can cool down the wound, because the temperature of ice cubes is already below zero degrees Celsius, it will cause the blood vessels in the skin to shrink sharply, reduce the heat dissipation of deep tissues, and the low temperature for a long time will also cause further damage to the burned tissues. Damage, such as possible frostbite of tissue, aggravates the injury. For children with extensive burns, low temperature will aggravate shock and worsen the condition.

Editor in charge: Li Zhi

This article or program is edited and produced by Voice of Hope. Please indicate Voice of Hope and include the original title and link when reprinting.

2023-08-20 09:02:11

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