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Emergency Medicine

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Burns

Burns occur when there is injury to the skin caused by contact with heat, fire, chemicals or electricity. Your child has a clean dressing on the burn to protect it and prevent infection. The first time the dressing is changed, it should be changed by a doctor or nurse.

If the dressing falls off before this change, replace it with a clean, dry bandage. Your child may have received a tetanus booster in the Emergency Department or Clinic. If so, notify your regular doctor to update your child's records.

How Do I Change the Dressing at Home?

  • Wash your hands thoroughly with soap and water.
  • Remove the old bandage. If it sticks, you can soak it for a few minutes in warm (not hot) water.
  • Wash the burn with warm, soapy water.
  • Rinse and pat dry with a clean towel.
  • With a sterile tongue depressor or with very clean hands, apply the antibiotic cream to the burn area in a thin layer. Do not put a dirty tongue depressor or dirty hands back in the container of antibiotic cream.
  • Carefully rewrap the burn with a sterile bandage as directed by your doctor.
  • Keep your child from scratching or touching the burn area.

Signs of Infection:

  • Foul Smell
  • Increasing redness or red streaks around the burn
  • Swelling
  • Pain
  • Yellow pus or discharge
  • Fever
If you notice any of these signs, call your doctor immediately or return to the Emergency Department.

Pain:

Acetaminophen (Tylenol) or Ibuprofen (Advil) can be used for pain.

Use medicine as prescribed. If your child is still uncomfortable, speak with your doctor about changing the dose or timing the dose with dressing changes to relieve pain.

Exercise:

Your doctor may have directed your child to do certain exercises to help regain use of the burned area. Ask your doctor if you have questions about the exercises or if you think your child is becoming stiff or tight around a burned area.

Long Term Care:

Once the skin has healed, apply a lubricating cream or lotion to the burned area. This will keep it soft and decrease itching. Avoid extremes of heat or cold for one year after the burn. Avoid direct sunlight for a year following the burn. Apply a sunscreen to any burned areas to protect the new skin.



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