What should I do after scalding? There are many sayings among the people: apply toothpaste and soy sauce ... how can we deal with it quickly to relieve pain, heal quickly and leave no scars? Let's listen to Qi Shaohai, vice president, professor of burn surgery and chief physician of the First Affiliated Hospital of Sun Yat-sen University.
"After the child was burned, the first reaction of many parents was to send him to the hospital immediately. In fact, there are several steps to be taken before he is sent to the hospital. Doing it in time and doing it right can quickly relieve pain, help heal and reduce the occurrence of scars, which accounts for at least half of the children's' perfect healing'. " Professor Qi Shaohai reminded parents to remember the five-word formula of "rushing, taking off, soaking, covering and sending" after their children were scalded.
1.chong
That is, wash the wound with flowing clean water (such as tap water), and be careful not to take too short a time, at least 20 to 30 minutes. This method is mainly to help cool down, avoid further aggravation of burns, and at the same time have analgesic effect.
take off
Take off your clothes and remove the heat source. This trick is not recommended immediately after scald. When cleaning and cooling the wound, you should slowly take off or cut off the soaked clothes. Be careful not to tear it forcibly, so as not to tear off the scalded epidermis together. If blisters are found on the skin, it is best not to puncture or tear them. Actually, it can protect the wound and avoid infection.
soak
If the burned part is not big, you can choose to soak it in cold water, preferably around 10. This practice is also to help remove the heat source and relieve the pain. But be careful not to ice directly to avoid frostbite.
cover
It is best to find a towel and other clean cotton cloth to cover the wound, so as to avoid being bruised and scratched again during medical treatment and avoid secondary pollution. Be careful not to smear anything on the scald, such as iodophor disinfectant, so as not to affect the doctor's examination and cleaning of the wound.
send
He was rushed to the hospital for treatment by a professional doctor. Note that if you are injured by special liquid (chemical solution, etc.). ), make records in time or take a small sample to the hospital.
Professor Qi Shaohai introduced that the general treatment of burns in hospitals depends on the degree of burns.
If the burn is shallow and there is no infection, the doctor will use normal saline for debridement at the first time, which will not stimulate the wound. After debridement, functional dressing was applied to the wound. At different stages of healing, the role of dressing will be emphasized. For example, the main function of dressing is to protect the wound and resist infection when it is just scalded, and functional dressing containing growth factors to promote wound healing will be selected in the later stage of healing.
Many parents will worry about whether the dressing change will hurt and whether the child will cry. Professor Qi Shaohai introduced that functional dressings are constantly being updated, and now dressing change can be said to be completely painless.
After the child is burned, parents are very worried about whether there will be scars, especially the burned parts are hands and face. Professor Qi Shaohai said frankly that it is necessary to analyze specific problems.
Whether it will leave a scar depends on the degree of burn. Generally speaking, burns are divided into first degree and second degree: first degree and shallow second degree generally do not leave scars, and deep second and third degree wounds are likely to leave scars even if they heal. Whether to leave a scar depends on the healing time. If the wound can heal within two weeks, the chance of leaving a scar will be greatly reduced.
"Scar treatment is a world problem. If you don't want to leave scars, you should put your efforts first. First, you should prevent the occurrence of burns (families with young children should avoid using tablecloths, and put cold water before boiling water when bathing their children. ). Second, timely and correct treatment after burns. " Professor Qi Shaohai said.
Professor Qi Shaohai introduced that in his career, he encountered a scalding case that made him very sad: a four-or five-year-old child was scalded by hot soup, and his parents were so angry that they were sent to the hospital in the town without any treatment. Doctors in the town don't have much experience and knowledge in dealing with burns, so they just wrap the child's two hands into fists. A month later, the child's wound healed, but his fingers stuck together and had no function. At this time, parents thought of sending their children to a big hospital, and the follow-up plastic surgery had to be done more than 20 times before the children's hands could recover their functions.
"This case also reminds us that it is also important for grassroots doctors to master scientific and correct burn treatment methods. Otherwise, a small accident may affect the child's life. " Professor Qi Shaohai said.