When a patient has scalds and blisters on the injured part soon after a burn, the general burn doctor will define this performance as second-degree burn or shallow second-degree burn. Some patients don't feel very painful although they are scalded or have blisters after burns. The doctor also asks you not to prick the blister with a needle, let alone drain the water inside, because it is easy to cause bacterial infection. Second-degree burns are clinically divided into shallow second-degree burns and deep second-degree burns:

1, superficial second-degree scald: superficial second-degree scald is a dermal injury, and its clinical manifestations are obvious local redness and swelling of the affected area, with blisters of different sizes, containing yellow serous liquid or protein coagulation peptone. When the blister breaks, a flush wound can be seen, with soft texture and high temperature, and the patient feels severe pain.

2. Deep second-degree burns: Deep second-degree burns are deep dermal injuries with skin adhesion. The clinical manifestations are small or flat blisters, slightly dull feeling and slightly lower skin temperature.

Should scalded blisters be punctured?

Why not pick out the blisters after burns and burns under the guidance of doctors, which may easily lead to bacterial infection? Xiao Changming, director of the Department of Burn and Plastic Surgery, Neijiang First People's Hospital, explained that small blisters appeared on local skin after scald, which generally belonged to shallow second-degree burns. The main substances in these blisters are electrolyte, glucose, fibrin and so on. These nutrients combine to form a good culture medium for bacteria. Therefore, improper treatment of blisters can easily lead to wound infection.

Whether the scalded blisters should be punctured depends on the situation. Generally speaking, small blisters don't need to be punctured, and they are kept dry locally. Blister skin is a good protective film to prevent infection. It is best to let them absorb and heal themselves.

Standard treatment method for bullae: after local disinfection, use sterile syringe to suck out the blister fluid or puncture the epidermis at the lowest part of the blister, release water fluid, and gently squeeze it with sterile cotton swab to make the blister fluid flow out at a low position, while retaining the blister epidermis, and then wrap it with sterile dressing to keep the local area clean and dry, and heal faster. Through the above steps, the blister will scab, dry and heal itself quickly. If blisters are contaminated and cause infection, you should seek medical advice promptly.

How to deal with burns scientifically?

What should I do if burns and scalds happen unfortunately? It is very important to carry out scientific and reasonable disposal at the first time. First of all, don't panic, and don't deal with it blindly. This will not only help patients, but will bring more harm and pain to patients. The specific operation method is as follows:

1, cold water washing: once burns and scalds occur, the patient should be quickly removed from the fire source or heat source, and the affected area should be washed with tap water immediately 15 to 20 minutes, so as to achieve the effects of cooling down, reducing residual heat damage, relieving swelling and pain, and preventing foaming. Avoid damaging deep skin due to high temperature.

2, timely anti-inflammatory: gently apply a cotton swab dipped in light salt water to the burn, which can play an anti-inflammatory role.

3. Don't dispose blindly: Don't take off the clothes on the patient immediately, because the skin and clothes stick together at the moment of burns. Taking off clothes will cause the wound to fall off and cause the injured part to be damaged again. If the wound has blisters, don't break them yourself to avoid infecting the wound.

4. Don't use folk remedies: Many people will apply vinegar, toothpaste and other "earth" to the wound after burns. These "earthwork" have no scientific basis, not only can not achieve the purpose of treating burns and scalds, but also the wounds will be blurred after being coated with colored solids or liquids, which will bring great inconvenience to wound cleaning and increase the pain of patients.

After cooling with cold water, the patient was immediately taken to the hospital for treatment. Attention should be paid to avoid wound infection during transportation, which can be simply wrapped with clean sheets and clothes to avoid pressure. At the same time, we should pay attention to prevent bumps and keep the speed.

KK Tip: For burn patients, we should pay attention to avoid spicy, greasy and fishy things in our diet. Especially for patients with severe burns and scalds, the diet should start with a small amount of trial meals and gradually increase to avoid acute bloating and diarrhea.