The wound after a burn does not heal and gets wet: what to do?

If the wound does not heal, the burn becomes wet, what to do and how to treat such an injury? Such symptoms occur with damage to the skin of 2, 3 and 4 degrees of severity. The main therapy comes down to antiseptic treatment and the use of special medications with drying properties.

Description

A person faces various types of trauma throughout his life, starting from childhood.
Before treating a lesion, you need to know everything about this type of injury. The damage is a violation of tissue trophism, which can be localized in various parts of the body. Weeping damage can cover different areas and depths of penetration. In this case, various structures from the dermis and blood vessels to bones and internal organs can be affected. Non-healing weeping lesions occur when the skin humidity is high. The mechanism of occurrence of such burns is similar to the way of formation of ordinary injuries. There are several phases in it:

inflammatory process;
regeneration;
scarring.

Restoration and healing of weeping type wounds should be carried out according to the scheme. It is necessary to constantly bandage the open wound, use restorative and disinfecting medications.

N.N. Karyakin, A.K. Martusevich

Nizhny Novgorod Research Institute of Traumatology and Orthopedics, Nizhny Novgorod

The article provides a review of the literature on the treatment of wounds and burns in an aquatic environment. The history of studying the problem and the pathophysiological aspects of tissue regeneration in an aquatic environment are discussed in detail. Key words: wounds, burns, aquatic environment, tissue regeneration.

Information about the authors: Karyakin N.N. – Candidate of Medical Sciences, Director of the Federal State Budgetary Institution “Nizhny Novgorod Research Institute of Traumatology and Orthopedics” of the Ministry of Health of the Russian Federation Martusevich A.K. – Ph.D., senior researcher Department of Experimental Medicine, Federal State Budgetary Institution "Nizhny Novgorod Research Institute of Traumatology and Orthopedics" of the Ministry of Health of Russia

Description of the drug

Zinc ointment is a universal preparation used exclusively for external treatment of damaged epidermis. Its main purpose is to eliminate acne and pimples. The zinc-based composition helps restore the skin, which is why it is actively used in anti-burn therapy.

Zinc ointment is effective against many dermatological diseases

Pharmacological action and group

Ointment (cream) based on zinc oxide is a dermatoprotective medication. As for the pharmacological group, this is a product for external skin treatment with pronounced drying and astringent properties. Thanks to these features, liniment is widely used for thermal damage to the dermis.

Pharmacological action of the ointment after application to the problem area:

After penetration into the epidermal cells, zinc oxide slows down biochemical processes.
In damaged cells, the secretion of compounds that contribute to the accumulation of exudate in tissues is stopped. The expansion of capillaries is suppressed, which eliminates the possibility of swelling.
Zinc reacts with proteins due to which a protective film is formed on the surface of the epithelium, which eliminates the likelihood of reproduction and spread of infections and pathogenic microorganisms.

The effectiveness of the ointment has been confirmed exclusively for 1st degree burns, which are characterized by local swelling, redness of the epithelium, and severe burning. In case of serious damage to the dermis (when blisters, vesicles, etc. form), treatment is carried out exclusively in a hospital setting under the supervision of a doctor.

Composition and release form

A distinctive feature of zinc ointment is the minimum number of components. In fact, the only active element is zinc oxide. Thanks to it, wound healing and tissue regeneration are activated, and the risk of infectious relapse is leveled. The basis of the drug is Vaseline (ratio 9 to 1).

The medication often includes auxiliary ingredients:

wax;
dimethicone;
mineral extracts;
menthol;
fish fat.

The drug is available in the form of paste and ointment. The distinctive features of the first are an increased percentage of fat content in the composition and a thick consistency. The paste is prescribed by a doctor to obtain a pronounced therapeutic effect with minimal penetration of active compounds into the main bloodstream.

In pharmacies, the medicine is sold in dark glass jars (50, 40 and 25 g) and plastic/aluminum tubes of 30 g. The concentration of the active substance can vary from 2 to 35% (in rare cases - 60%). The drug is supplied in cardboard packages with annotations and instructions for use.

General information

A burn is a wound caused by direct skin contact with chemical irritants or hot thermal objects. Injury can also be caused by steam, boiling water and electric shock. The nature of the injury will determine how long the burn takes to heal. In medicine, it is customary to classify burns according to the depth of damage to the epithelial layers.

Classification

Burns are divided into degrees:

The first is that the upper layers of the epidermis are damaged without affecting the internal fibers. Redness forms at the site of the lesion, which disappears after 2-4 days.
The second is that in this case the injury affects the subcutaneous tissue. Swelling and watery blisters appear on the surface, and the skin takes on a burgundy tint. The dermis is completely restored after 2 weeks, and the dead parts of the skin peel off.
The third, in turn, is divided into groups “a” and “b”.
A – the burn affects almost all layers of the skin. The appearance of large yellow blisters is observed, the skin is covered with a rough crust of dark burgundy color. How long the burns take to heal in this case depends on the use of medications; usually the regeneration process begins 14 to 30 days after the injury, pigmentation disappears after 2-3 months.
B – ligaments, muscles, subcutaneous fat fibers are affected. Blisters with blood clots form on the dermis, and the wound is covered with gray scabs.
The fourth is the last and most dangerous degree. The damage affects the bone structure, necrosis spreads to the muscles and tendons. The wound is very deep; the injured area is overgrown with a black crust, which is not sensitive to external irritants. The recovery process can last for months; scars remain on the burned area.

Healing time

To determine how long a burn will take to heal, the following circumstances must be taken into account:

acquired stage;
the substance or object that caused the injury;
area and depth of skin lesions;
the age of the person injured;
individual characteristics of the body for regenerative abilities.

Treatment of wounds with anti-burn agents plays an important role in the recovery process; how long the burn takes to heal will depend on this.

A 2nd degree burn heals depending on whether the blister is punctured. When the bladder is intact, the skin underneath begins to recover faster. After 2 weeks, dead scabs of the dermis peel off from the damaged area. Opening a blister can lead to infection with various infections; this should only be done by the attending physician using sterile instruments.

If you receive a type 3 injury, skin regeneration begins after 3 weeks. After this period, new cells grow in the affected area, from which the restoration process of the burned area begins. Burns of this classification are treated by specialists.

Stage 4 leads to disability. The risk of surviving these injuries is not high. Modern technologies use skin grafting and spraying table cells onto burnt parts of the body.

First aid

Providing first aid will help significantly speed up the recovery of the injured person. Necessary measures:

eliminate the source of damage; if the burn was caused by chemical means, the patient’s clothes should be removed;
the wound should be immediately washed with cool water for 40 minutes;
to avoid painful shock, you need to take a painkiller;
To make the injury go away faster, the injury must be treated with antiseptics and a sterile, dry, non-pressure bandage applied;
escort the patient to the nearest medical center or call an emergency vehicle.

How to treat a weeping wound after a burn

It is better to entrust the choice of drug to a doctor. The following are the most effective drugs.

Solcoseryl is one of the most effective medications for healing the skin. It is most often prescribed by doctors for burns. The formula of the medication includes active components that nourish the skin, help deliver oxygen to cells and regenerate cells. Solcoseryl is available in the form of a gel or ointment. For weeping wounds, it is better to use a gel consistency.

Lioxazine is a high-tech medicine that provides pain relief after injury. It is able to accelerate regeneration processes and prevent the penetration of microorganisms into the wound.

Combination drugs

Amprovisol is a medicine in the form of an aerosol. It is very convenient to use for burns, since there is no need to contact the affected area. This remedy helps relieve inflammation in burns, disinfect and anesthetize the wound. Also ensures quick recovery.

Olazol is a local drug with a healing effect. Available in aerosol form. Contains sea buckthorn fruit oil. Due to the antimicrobial, analgesic effect, the process of epithelial restoration is significantly accelerated.

Traditional methods

If the burn gets wet, what should you do at home? You can use folk recipes. The most effective are the following:

Potatoes Young root vegetables are peeled, grated on a coarse grater, and squeezed using gauze. This juice is moistened with a clean dressing material and applied to the wound. The dressing is changed 4 times a day.

Onions The onions must be grated on a fine grater, then the mixture is applied to a bandage and applied to the damaged area. With the help of an onion, the injury site is disinfected, the severity of pain is reduced and swelling is neutralized.

Aloe juice You can squeeze the juice from the leaves of the plant or tear off the skin. The fabric is blotted with liquid and applied to the injury site. When using a whole sheet, it is attached to the wound for several hours.

Sea buckthorn Oil from the fruit of sea buckthorn is an excellent remedy, but before using it to treat a burn it must be sterilized. I apply wipes moistened with this product to the wound. It is better to perform this manipulation once a day.

Medicinal chamomile

To treat the wound, prepare a decoction or infusion of water. Take a dry plant and fill it with water, leaving it for several days. Moisten the bandage with this solution.

You can carry out these activities yourself only if the injury is not life-threatening

It is important to consult a doctor before using any medication.

The best way to prevent injury is to follow safety precautions and follow all safety rules.

Treatment

When a burn gets wet, what should you do at home? Much depends on the severity of the complication; on this basis, prescriptions for further therapy are formed.

Inflammation

Treatment methods for weeping burns of the first stage are aimed at stopping a pronounced inflammatory process:

At the first signs it is necessary to carry out antiseptic treatment. To do this, use a solution of “Furacilin”, “Miramistin”, “Chlorhexidine”, potassium permanganate (potassium permanganate). It is necessary to treat a burn wound if it does not heal with the help of these products 3 times a day, washing the affected area abundantly.
Treatment of a weeping burn of a large area is effectively carried out with special anti-burn dressings with silver "Biaten Ar".
If the wound after a burn does not heal and a necrosis phase with pus is observed, water-soluble antibacterial drugs are needed, for example, Levosin or Levomekol ointment.
How to dry a burn when liquid, transparent exudate, which stimulates the cleansing of the injury, is intensely released from the blisters? Antibacterial agents are used in the form of powder “Furacilin”, “Streptocide”, “Tetracycline”, “Levomycetin”. The drug is applied in a thin layer, and then a sterile bandage is applied, which must be changed 4-5 times a day.
It is also permissible to treat with antiseptic agents to prevent the development of pathogenic microflora and infections, using, for example, Betadine, Iodine. Drying drugs can be used no more than 2 times a day.
To eliminate pain, standard analgesics “Paracetamol” and “Analgin” are used. For extensive injuries, anesthetic sprays or injections are prescribed.
Olazol spray is also effective for healing a weeping burn. Thanks to its dosage form and composition, it has antibacterial and healing properties. Therapy is carried out for rapid recovery and reduction of exudate.
It is recommended to treat a burn wound if the wound does not heal with the help of additional therapy in the form of taking vitamins to promote a speedy recovery. For this purpose, vitamins of group “C”, “E” and “A” are prescribed, which promote the production of collagen and elastin.

Treatment of weeping wounds after burns

Weeping wounds occur with 2nd and 3rd degree burns. After the blister bursts, a wound forms at the site of the lesion, which becomes wet.

Treatment of weeping wounds from burns with boiling water consists of the following steps:

treating the damaged area with an antiseptic;
dusting the wound with Streptocide powder;
cover with sterile gauze.

There is also an open method of drying a wet wound: drugs are applied to the wound until the formation of moisture stops without dressing.

In this case, the following manipulations are performed:

the wound is blotted using a medical swab; the dried area is carefully and gently lubricated with ointment or cream; antiseptic is used both on the burn and around it; after soaking the ointment, the procedure can be repeated; repeat the session several times during the day.

For minor burns, the injury heals within 5 days. If the wound is too serious, the healing process will last up to 2 weeks.

When to see a doctor

If the patient notices that the burn does not heal for a long time or begins to get wet, then you should immediately contact a specialist for help. Only a doctor can prescribe the correct treatment, which will prevent the development of severe complications. Symptoms for which you should consult a doctor :

Isolation of serous exudate and pus from the wound surface,
Increasing pain or its reappearance after subsiding,
Hyperemia and swelling,
Chills and increased local and general body temperature.

A surgeon treats a weeping and purulent wound after a burn. You should contact the clinic. If necessary, the doctor will give a referral to a surgical hospital. If you have a weeping wound of a 2nd degree burn, you can also consult a dermatologist.

Modern drugs

Despite the huge selection, there are universal products for caring for burned skin.

Rescuer

A drug with pronounced anti-inflammatory and antibacterial properties is used in both children and adults. Ointment for burns with boiling water made from natural ingredients prevents the appearance of scars. Tissue trophism improves due to the action of sea buckthorn and other oils, propolis, and rough scarring of the damaged area is prevented.

The balm or ointment has no contraindications, but people with sensitive skin and a tendency to allergic reactions should be careful. The drug is used to make medicinal compresses.

Balsamic liniment

Vishnevsky ointment has excellent anti-inflammatory and wound-healing properties. It contains birch tar, camphor and xeroform. The product is used for grade 1 and 2 injuries on a small surface of the skin. Not recommended for use on wet wound surfaces.

The effectiveness of treatment increases if the medicine is applied to a sterile bandage and attached to the damaged area once a day. This procedure is recommended to be done at the last stage of the disease.

Balsamic liniment according to Vishnevsky

Levomekol

Levomekol ointment with an antibiotic is produced on a water basis. The drug is included in complex therapy. The antimicrobial effect of the main component is used for suppuration of blisters in the injured area. Thermal burns are often treated with this remedy at home.

After applying the drug, the active components continue to act at the site of damage for about 20 hours. If the burn is deep, the medicine is applied as a bandage after the main drug treatment of the disease.

The drug kills many pathogenic organisms and prevents complications of the disease. A timely treated injury is much less likely to fester and heal faster. In addition to the antibiotic chroramphenicol, the product contains methyluracil, which normalizes metabolism in the affected area and increases the protective properties of the epidermis.

Antibiotic for external use

Bepanten

Medicine in the form of ointment, spray or cream is also widely used in complex therapy, especially at the healing stage. Bepanten is used for burns from boiling water in children and adults. Dexpanthenol in the product is suitable for providing first aid to humans.

The advantage of the spray is that it does not come into contact with the skin, just like when applying panthenol. Cream for burns with boiling water with dexpanthenol has a lighter texture. It is used in children and elderly people, because their skin’s regenerative abilities are significantly reduced.

Rapid regeneration of damaged cells, elimination of inflammation and antiseptic effect make the drug very popular. The cream or spray is used immediately after a burn with boiling water, after cooling it slightly with running water.

Bepanthen wound healing cream

Product with zinc

The main medicinal substance is zinc oxide. The active components of the drug stop the proliferation of microbes and help avoid infectious complications of the disease.

Zinc ointment restores damaged cells and relieves swelling. It is used as an external remedy mainly for injuries from boiling water of the 1st degree with redness and burning of the skin. If you have a question about what to apply to a burn from boiling water, you can use a product with zinc oxide at home.

The effect of zinc ointment on burning skin

Sulfargin

If blisters appear and are punctured, it is recommended to apply an antibacterial drug to the skin. You cannot pierce the blisters yourself, but if they burst, you will need to disinfect the damaged area.

Ointment for hot water burns sulfargin with silver ions has a powerful antimicrobial and anti-inflammatory effect. The remedy is especially effective when purulent contents appear, to reduce the risk of secondary infection.

The medicine is applied once a day to the wound surface cleaned of necrotic tissue in the form of a sterile bandage. Without a protective bandage, apply the product twice a day. Sulfargin is included in the treatment of children from 1 year of age.

Sulfargin with silver ions

Causes of the problem

Weeping wounds mean a damp surface and an increased amount of discharge. The release of serous fluid through the smallest skin defects is observed during inflammatory processes in the dermis. They leak with the formation of bubbles and blisters.

Any wound accompanied by a violation of the skin has a bacterial infection. It becomes wet later, in cases where the immune system cannot cope with a large number of bacteria.

Treatment of weeping wounds after burns

The treatment regimen includes mandatory permanent dressings, as well as the use of antiseptic and wound-healing medications. After a burn, weeping wounds should be treated with drugs that improve blood circulation. It is worth being patient as this is a long process.

Dressings need to be done every day, and in severe cases, repeatedly - it all depends on the moisture content of the dressing. During the procedure, complete sterility is maintained.

Applying ointment to weeping lesions creates conditions that will prevent the separation of fluid and the access of oxygen. This will slow down the scarring. The damaged area is protected by gel from drying out and infection and can “breathe”. When the injury has completely healed, the form of the drug is changed.

Treatment by stages of the process

Weeping wounds have three periods: inflammation, regeneration and scar formation.

At the first stage of inflammation, the affected areas are treated with an antiseptic. For this, “Chlorhexidine”, “Miramistin”, “Furacilin” hydrogen peroxide can be used. After this, a sterile hygroscopic bandage is applied.

The fluid released from the wound promotes its cleansing and healing. At this stage, the dressings are changed frequently. When there is a large amount of moisture released, therapy is carried out using an open method. More complex weeping areas are recommended to be treated with Biaten Ag dressings.

How quickly burns of different degrees heal

Some factors that can affect the rate at which a boiling water burn heals:

temperature increase;
liquid composition;
deepening and extensive area of the wound;
level of the immune system;
age;
presence of infection;
correct and early treatment.

Stage 1: damaged tissue is restored within 5 days.
Stage 2: Damage is restored after 14 days.
Stage 3: skin renewal occurs no earlier than after 1.5 months. In this case, noticeable scars remain.
Stage 4: the skin is renewed for a very long time, which can even lead to disability. Over the course of 45 days, the tissues only die and are rejected. Then the burn area becomes overgrown with loose tissue, and a scar appears. However, if the affected area is minor, then the wound is renewed in 60 days. With extensive damage, scar ties appear, which subsequently cause discomfort when moving.

Classification of burns

Many factors influence healing. To make a forecast, you need to know:

degree of damage;
type of injury;
damage area;
patient's age;
general health.

Degrees

A special classification has been created, which includes 4 degrees of burns, characterized by different symptoms:

the first is slight damage to the surface layer of the skin. It appears as redness and slight swelling. Pain and burning are felt, body temperature at the burn site rises;
the second - the skin is affected up to the germ layer. Redness and swelling are accompanied by the appearance of blisters. Inside there is a clear liquid that gradually becomes cloudy;
the third is divided into subgroups A and B. A degree A burn affects part of the dermis, leaving the sebaceous glands and hair follicles intact. At the site of injury, wounds appear that are covered with a soft scab. Sometimes large blisters filled with bloody fluid appear. A grade B burn destroys the dermis and can damage fatty tissue. Large-scale cell death occurs, the skin peels off;
fourth is the most severe degree. The epidermis becomes charred and deep necrosis develops. All layers of skin, muscles and tendons are affected. Sometimes the injury extends to the bones.

Type of damage

The speed of healing depends on what exactly caused the burn. Doctors distinguish 4 types of injury.

Thermal. Occurs upon contact with a heat source. This could be boiling water, hot oil, steam released by a kettle, the soleplate of a switched-on iron, or an open fire. Signs of damage include severe pain, blisters, inflamed and swollen skin.
Chemical. Appears from exposure to aggressive substances. Salts of heavy metals, alkalis and acids pose a high threat. Such injuries rarely form blisters. Usually the affected area is covered with a scab. When it cracks, long-healing ulcers and weeping wounds form. In addition to contact with aggressive reagents in everyday life or at work, chemical damage to the epithelium is provoked by jellyfish stings and contact with certain plants.
Electric. Occurs when an electric shock occurs at work, at home, or during a thunderstorm. Electrical injury is very dangerous. It disrupts not only the integrity of the skin, but also the functioning of internal organs. Such damage is manifested by redness, swelling, burning, and cardiac dysfunction.
Solar. Occurs under the influence of ultraviolet radiation. The cells of the surface layer die, irritation and swelling develop. Severe damage causes blistering. If they burst, open wounds appear.

Antibacterial and hormonal ointments

Antibiotic agents are prescribed when there is a bacterial factor. Most often, antibiotics in the form of ointments are prescribed in combination with other agents to accelerate skin restoration. Ignoring the instructions and timing of antibiotic use can lead to addiction and increased symptoms when the drugs are discontinued.

Ointment "Levomekol"

The cost of the product starts from 130 rubles per package. The main active ingredient is dioxomethyltetrahydropyrimidine, which is responsible for tissue regeneration, and the antibiotic chloramphenicol. The drug has a very fast action and relieves inflammation. It penetrates deeply into the skin and eliminates pain within 10-20 minutes after application.

Important! The use of antibacterial drugs requires the supervision of a doctor and should be short-term (from 7 to 14 days maximum, unless other periods are described in the instructions). Contraindications include only hypersensitivity

Use during pregnancy and childhood is only in consultation with a doctor. If the instructions are not followed, allergic reactions to Levomekol are possible.

Among the contraindications, only hypersensitivity is distinguished. Use during pregnancy and childhood is only in consultation with a doctor. If the instructions are not followed, allergic reactions to Levomekol are possible.

Cream "Sulfargin"

The drug is classified as an antibiotic, although it additionally contains silver ions rather than synthesized antimicrobial substances. The price starts from 300 rubles. It relieves inflammation well and inhibits bacterial activity. Can be used from 1 year of age. Apply the drug 1-2 times a day.

Use is contraindicated:

with sensitivity;
during pregnancy and lactation;
with deficiency of glucose-6-phosphate dehydrogenase;
for wounds with copious purulent discharge.

The product should be used carefully for kidney and liver diseases.

Cream "Streptonitol"

The product costs an average of 30 rubles. The drug has a powerful antibacterial and regenerating effect and is indicated in the treatment of burns with wounds and purulent lesions. It contains sulfanilamide and aminitrozole, as well as additional combined additives.

It is forbidden to use the medication in cases of hypersensitivity and deep purulent lesions requiring surgical intervention. During use, short-term reactions are possible: pain, burning.

Means "Kremgen"

The combined medication costs an average of 90 rubles. It has antimicrobial, anti-inflammatory and analgesic effects, and also prevents tissue death. A highly effective remedy with an antibiotic and hormones from the group of glucocorticosteroids (gentamicin, fluocinonide). Prevents severe itching.

Violation of the instructions for use may lead to side effects:

irritation;
skin atrophy;
dermatitis;
severe itching and burning;
allergies;
fungal diseases;
excessive dry skin.

Kremgen should not be used for fungal, viral skin diseases, neoplasms and hypersensitivity. Pregnant women and children under 2 years of age are prohibited from using the medicine - only in case of emergency according to doctor's indications.

Antiseptics. Aldehydes

Formaldehyde

(formaldehyde), a clear, colorless liquid with a peculiar pungent odor. Used as an antiseptic, as a disinfectant and deodorizing agent for washing hands, washing the skin during excessive sweating (0.5-1%), for disinfecting instruments (0.5%), for douching (1:2000 - 1:3000). Part of the lysoform. Formidron is a liquid containing a solution of formaldehyde 10 parts, ethyl alcohol 95% 40 parts, water 50 parts, cologne 0.5 parts. Used to wipe the skin with excessive sweating.

The ointment is formaldehyde, white in color with a faint odor of formaldehyde and fragrance. Used for excessive sweating, rubbed into the armpits once a day, into the folds between the fingers.

Lysoform, formaldehyde soap solution. Ingredients: formaldehyde 40 parts, potassium soap 40 parts, alcohol 20 parts. Has a disinfectant and deodorizing effect. Used as an antiseptic for douching in gynecological practice, for hand disinfection (1-3% solutions).

Hexamethylenetetramine (hexamethylenetetramine), colorless, odorless crystals, easily soluble in water. Aqueous solutions have an alkaline reaction. Used mainly for infectious processes of the urinary tract (cystitis, pyelitis). The action of the antiseptic is based on the ability of the drug to decompose in an acidic environment with the formation of formaldehyde. The drug is prescribed on an empty stomach. Indications for its use are cholecystitis, cholangitis, allergic diseases of the skin and eyes (keratitis, iridocyclitis, etc.). The drug may cause irritation of the renal parenchyma; if these signs occur, the drug should be discontinued.

Urosal, tablets containing 0.3 g of hexamethylenetetramine and phenyl salicylate.

Kaltsex - white tablets, salty-bitter taste, easily soluble in water. Contains 0.5 g of complex salt of hexamethylenetetramine and calcium chloride. Use 1-2 tablets 3-4 times a day for colds as an antiseptic. Cyminal inhibits (locally) gram-positive and gram-negative bacteria, promotes epithelization and wound healing. Used externally in the treatment of wounds, pyoderma, trophic ulcers, burns. Prescribed in the form of a powder (for dusting) or 1-3% suspension, which is applied to the damaged surface, dressings after 3-4 days. With prolonged use of the drug, dermatitis, burning sensation and itching may occur.

Ethyl alcohol (wine alcohol), according to its pharmacological properties, is classified as a narcotic substance. By acting on the cerebral cortex, it causes characteristic alcoholic arousal, associated with a weakening of inhibition processes. In medical practice, it is used primarily as an external antiseptic and irritant for wiping, compresses, etc. It is sometimes administered intravenously for gangrene and lung abscess in a sterile isotonic solution. Ethyl alcohol is widely used for the manufacture of tinctures, extracts and dosage forms for external use.

What not to do

There are many folk recipes for anointing a burn with boiling water at home. Many of them are truly effective and help relieve pain and prevent the formation of scars and scars. But the use of some home recipes can lead to a worsening of the condition, as well as infection in the wound. In case of a burn with boiling water, it is prohibited:

It is not recommended to treat burns from boiling water with anti-inflammatory agents if the skin has not been sufficiently cooled. Preparations for burns with boiling water create a film on the skin that prevents the natural cooling of damaged skin.
It is prohibited to use any alcohol solutions. This applies to brilliant green, iodine, alcohol and various tinctures. Alcohol additionally injures burned skin. And iodine or brilliant green also stains the surface of the burn, which can complicate the process of examining the damaged area by a doctor.
It is not recommended to apply oil to a burn. Any oils are not included in the list of what can be applied to burns from boiling water. Their use may ease the pain slightly, but significantly prolong the healing period. At the stage of subsequent treatment, when the wound has already healed a little, you can use sea buckthorn oil.
If blisters form on the skin as a result of a burn, it is strictly forbidden to pierce them. This can lead to infection entering the tissue.
If fabric is stuck to burnt skin, do not tear it off. You need to cut it carefully, after moistening it with cold water.
To reduce the temperature of the burned area, immediately after the injury, rinse the skin with cool water. It is prohibited to use any solutions for this. Washing with an acid solution is required for burns caused by alkalis, and with an alkaline solution for damage caused by acids. In case of a thermal burn, the use of any solution does not make sense. The main task when providing first aid is to cool the burn site.
It is prohibited to apply sour cream, kefir, yogurt, yogurt or other fermented milk products to the wound. They contain bacteria that can lead to wound infection. In addition, they may contain chemical food additives that aggravate the condition of the wound.
Do not apply a bandage that is too tight. This may cause additional skin trauma and swelling.
Apply any non-sterile means to the burn site, for example, whipped egg whites, cabbage leaves, grated potatoes. The use of traditional methods is allowed only at the stage of wound healing. Before lubricating burns from boiling water with any non-pharmaceutical ointments, the wound must be completely healed under a sterile bandage.

If you use the wrong methods to treat severe burns from boiling water, you can introduce infections into the wound and prolong recovery for a long time. Therefore, if you have any doubts about how to treat a burn with boiling water, it is recommended to consult a specialist.

Symptoms

The peculiarity of this complication is that ichor constantly oozes. Depending on the degree of damage, the symptoms become more severe. In the event of a bacterial infection, the body tries to get rid of the pathogenic flora, as a result of which increased plasma production occurs.

A weeping burn is accompanied by symptoms such as inflammation around the lesion, granulation, pain, and slight swelling. If the patient is not given proper therapy for a long time, there is a likely risk of developing sepsis. How to treat a weeping burn, what kind of care to provide, in this case it is better to find out from a doctor; antibacterial drugs are often prescribed in various dosage forms.

Treatment at home for burns with blisters

If treatment is carried out at home, it is necessary to apply a wound-healing ointment under a sterile bandage twice a day, carefully observe hygiene and try to prevent the bubble from bursting. Gradually, the damaged layer of skin will be restored, scarring will begin, and the blister will dry out. The dead film will peel off, revealing healthy epithelium.

Pharmacy products

If a blister begins to swell on the skin from a severe burn, you should immediately use medications that stimulate cell renewal and start the regeneration process. The pharmacy offers a wide selection of anti-burn medications. Well proven:

Bepanten ointment. It contains dexpanthenol, which anesthetizes the wound, relieves swelling and eliminates inflammation,
Levomekol. This is an antibiotic that prevents infection and accelerates the healing of damaged areas,
Argosulfan. The ointment contains silver ions, which soothe burning sensation, destroy pathogenic microflora and restore the integrity of the skin,
Eplan. The product has no contraindications and helps well against thermal burns with blisters,
Panthenol. A drug based on dexpanthenol promotes rapid tissue regeneration.

For daily dressings you need to purchase everything you need. You will need:

sterile bandages and gloves,
antiseptic,
gauze swabs for applying medication,
anti-burn ointment.

Traditional methods

If necessary, burns with blisters can be cured using traditional methods. Their use is allowed for small blisters when their integrity is not compromised:

An ancient method of treating injuries from steam or boiling water is to apply sea buckthorn oil to the burned area. It soothes pain and relieves irritation. The wound should be lubricated with a thin layer, covered with a sterile cloth and left for several hours. Repeat the treatment 2 times a day.
Aloe juice accelerates skin regeneration. The bottom sheet should be washed, minced through a meat grinder and the juice extracted. Soak gauze with it and apply a lotion to the sore spot for 3-4 hours.
Grate fresh carrots, wrap the pulp in gauze and apply to the injury for 4 hours. Repeat the procedure twice a day.
Dilute three tablespoons of starch with a spoon of water. Spread the homogeneous paste over the affected area and cover with a bandage. After 3 hours, wash off with an antiseptic. Treat the burn morning and evening.
Beat the white of 1 egg until foamy and apply to the affected area. After 2 hours, clean the wound and repeat the procedure.
Combine 1 part of pharmacy calendula tincture with 5 parts of cosmetic Vaseline. Mix into a homogeneous mass. Apply to blister and inflamed skin 4 times daily.

If you have burns, you should not listen to dubious recommendations. These include:

lubricating the skin with vegetable oil or fat,
treating the wound with iodine, brilliant green or alcohol,
using vinegar or soda,
urine therapy.

Such actions are unacceptable. They aggravate the damage and worsen the patient's condition

Do not forcefully tear off the fabric stuck to the burnt area: it must be carefully cut with scissors and then soaked in cool water

If a large bubble has burst, the whitish film should be cut off with sterilized scissors. Then disinfect the injury with hydrogen peroxide and apply a layer of antibacterial ointment under the bandage.

If inflammation begins, you should immediately consult a doctor.

Alarming symptoms of impaired recovery processes are:

increase in body temperature,
chills,
severe swelling in the affected area.

As mentioned above, the first action that can alleviate the victim’s condition is a stream of cold water directly onto the affected area. After the pain has decreased, it is recommended to lubricate the burn site with goose fat or sea buckthorn oil. If you don’t have this on hand, you can make simple lotions - one tablespoon of soda dissolved in a glass of boiled water (necessarily cool).

It often happens that a person, in the desire to provide first aid to the victim, takes completely wrong actions, which can only cause more harm and even pose a threat to human health.

The first important rule is not to try to remove clothes from the victim yourself - doctors in the hospital will do this

Also, many experts strongly discourage the use of sunflower oil to treat burns. This is explained by the fact that this oil forms a film that prevents air from penetrating to the damaged area and the regeneration process slows down. There is a common myth that urine helps with severe burns.

Folk remedies

Folk remedies for burns accelerate the healing of damaged tissue and reduce pain. However, remember that they can only be used after first aid has been provided, and only in case of minor burns. If the patient has a third-degree injury, he must be taken to the hospital and treated under the supervision of specialists.

Aloe

Aloe reduces the healing process of wounds. Two to three days after the burn, start applying the juice of fresh leaves of this plant directly to the wound and you will feel immediate relief. Repeat the procedure 4-6 times a day, covering the damaged skin with a bandage if necessary. It should be noted that aloe copes with any burns - oil, steam, boiling water, hot iron surface, etc.

Kefir or whey

Our great-grandmothers knew how to quickly cure a burn. For these purposes, they always had whey in stock - a dairy product that remains after making cheese. But in urban areas it is not at all easy to get natural whey, so you can replace it with kefir. After first aid has been provided to the patient, apply a compress of gauze soaked in kefir to the sore skin. The fat contained in this product will relieve pain, and vitamins and valuable microelements will speed up healing. You can also use other proven techniques at home.

Elder

Boil 2 tablespoons of dried elderberry flowers in a glass of boiling water, cool and strain the product. Apply it to damaged skin several times a day to help your skin recover faster. Additionally, use other folk remedies for burns.

Chamomile

Make a simple chamomile infusion (brew a tablespoon of dried flowers in a glass of boiling water), cool it. Using a swab moistened with this infusion, gently wipe the affected areas several times a day, and then apply a gauze bandage. Chamomile will help with any burns - steam, oil, boiling water, chemicals, hot iron surface, etc.

Calendula ointment

So, take 3 tablespoons of crushed calendula flowers and half a cup of unsalted pork fat. Boil the mixture in a water bath for 1-1.5 hours (over low heat), then strain and cool. You can add an ampoule of liquid vitamin E to the ointment, but you don’t have to add it. Apply the product to your skin several times a day.

Potato

Potato compresses can help treat burns at home. Grate the raw cold vegetable and apply it to the sore spot (you can secure it with a gauze bandage on top). Potatoes help in the first days when there is severe pain.

Kinds

With a thermal burn, the skin becomes red, blood circulation in the damaged area is disrupted, and swelling occurs. Protective cells, leukocytes, are activated and accumulate in the tissues of the burned area.

Treatment of burns depends on their severity.

3 degrees:

First;
Second;
Third (A and B).

The easiest

In the first degree, the blow is applied to the top layer of skin, the damaged area turns red. The burn is accompanied by prolonged pain due to damage to the nerve endings. This stage is easy - the chance of complications is low.

Moderate

The second degree is characterized by the formation of blisters on the skin filled with serous fluid. The risk of inflammation – infection – increases significantly.

Heavy

In the third degree A, all layers of the skin are damaged.

The type of damage is dangerous due to toxemia - poisoning with one’s own protein (destroyed protein, subject to necrotization, enters the bloodstream).

Treatment of this degree is carried out in a hospital.

B-grade is the most severe, accompanied by destruction of the skin layers, underlying muscles, fascia, and bone tissue. Requires hospitalization.

Degrees and causes of injury

Ammonia burns to the oral mucosa occur for the same reasons as all other chemical burns - they are provoked by the effect of a chemical on the mucous membrane. In this case, this substance is ammonia. This substance is used for disinfection purposes, but if used incorrectly it can cause adverse effects. Since the mucous membranes are overly sensitive to external influences (they lack a layer of epidermal protective cells), aggressive substances contained in medications can cause severe irritation.

Depending on how strong the impact of ammonia was, the following degrees of damage differ:

In the first degree of ammonia burn, the area affected by the substance becomes inflamed. A swelling forms on it, and slight swelling may occur. There is almost no pain; the patient may complain of minor discomfort, which ceases to be felt after a few days. Typically, such injuries do not lead to serious consequences, so they can be treated at home.
With a second degree burn, more severe symptoms occur and you should definitely consult a doctor to eliminate them. Plaque may form on the mucous membrane, and the damaged area often bleeds. Severe pain is also observed. Sometimes the temperature may rise. All these signs can persist for two weeks.
This degree of burn caused by ammonia is the most severe. In this case, you cannot do without the help of a specialist. The affected areas are covered with deep scabs, blisters and ulcers are found on the mucous membrane, which bleed heavily. If the oral mucosa is exposed, symptoms of poisoning may join the listed signs.

If you suspect a burn with ammonia, you should consult a doctor to minimize the negative consequences. Independent actions can provoke complications, so self-medication can only be done if you have the necessary knowledge about such injuries.

httpv://www.youtube.com/watch?v=embed/onvW1DjIl0M

Sources

https://VitaPortal.ru/medicine/travmatologiya-i-ortopediya/mozhno-li-poluchit-ozhog-kozhi-spirtom.html
https://nmed.org/lechenie-ozhogov-v-domashnikh-usloviyakh.html
https://moyatravma.ru/ozhogi/spirtovoj-ozhog
https://ozhoginfo.ru/lechenie/nashatyrnym-spirtom.html
https://BezTravmy.ru/ozhogi/spirtom.html
https://ozhoginfo.ru/lechenie/spirtom.html
https://DoloyPsoriaz.ru/ozhogi/vidy-04/chto-delat-pri-ozhoge-nashatyrnym-spirtom.html

Prevention measures

Burns with blisters are a common condition that many people experience. You can reduce the risk of injury with proper prevention:

When working with flammable substances and household chemicals, you should strictly adhere to the rules written in the instructions for the products. Keep hazardous substances in a specially designated place, away from food. When coming into contact with aggressive compounds, be sure to wear gloves, protect your eyes with goggles, and your mouth with a gauze bandage. When preparing food, be careful not to grab a hot pan or stove with your hands. Keep small children away from the operating stove. Avoid exposure to steam. When visiting the beach, protect your body from sunburn with cream.

If it was not possible to prevent skin injury, do not panic. First aid is urgently needed. The speed of subsequent recovery and the absence of scars after wound healing depends on its quality.