Burns and scalds
Also called burn, scald, jal gaya, hot water burn, fire burn
What you are dealing with
Cool running water in the first twenty minutes decides how badly a burn scars. It is the single most useful thing a bystander can do.
Do this, in this order
- Move the person away from the heat source and stop the burning.
- Hold the burn under cool running water for twenty full minutes. Cool water, not ice cold.
- While cooling, gently remove rings, bangles, watches and any clothing near the burn that is not stuck to it.
- After cooling, cover loosely with cling film laid over the burn, or a clean non fluffy cloth.
- Keep the rest of the person warm, because twenty minutes of cooling can chill a child quickly.
- Give paracetamol only if that person already takes it safely, and go to hospital for anything more than a small burn.
Never do this
- Never put ice, iced water, toothpaste, butter, ghee, oil, haldi, ink or a potato on a burn.
- Do not burst blisters, and do not peel away clothing that is stuck to the skin.
- Do not use cotton wool or any fluffy dressing, because the fibres stick.
- Do not delay cooling in order to find a cream first. Water now beats cream later.
Call an ambulance if
- A burn larger than the person's own palm, or any burn on the face, hands, feet, joints or genitals
- A burn that looks white, brown, leathery or is painless, which means it is deep
- Any burn in a baby, a small child, an elderly person or a pregnant woman
- Electrical burns, chemical burns, or a burn with smoke inhalation, coughing or a hoarse voice
After the emergency
Get it looked at properly
First aid buys time, it does not finish the job. Most of these situations need a doctor to check what happened, prevent infection, and decide whether anything more is needed.