Thermal skin burns: the whole truth about how to treat them. Suppuration of a burn wound: signs and treatment What needs to be prepared to treat burns at home

When do burns occur?
Thermal burn is tissue damage caused by high temperatures. Depending on the level of high temperature affecting the human body, as well as the time of exposure, local or general disorders develop.

What is the classification of burns?
There are three degrees of burns based on the depth of the lesion.
/ degree-redness of the skin (hyperemia), combined with mild swelling and a painful burning sensation. Appears with short-term exposure to steam, not very hot water, or with an excessively severe burn. It lasts for several days, and after peeling of the epidermis it disappears without scars.

// degree- redness of the skin, swelling and the formation of blisters filled with yellowish serous fluid. The blisters are dead epidermis raised by tissue fluid. Severe inflammation and necrosis of the epidermis occurs at the border with the skin itself, accompanied by severe pain. Such burns occur when exposed to boiling water, hot liquid oil, hot water steam, etc.
They usually heal within 2 weeks, due to the possibility of regeneration of the epidermis from the bottom of the wound.

III degree- necrosis of the entire thickness of the skin, and often of deeper tissues, sometimes to the bones. The dead skin dries out and forms a whitish-gray or yellow scab. Such burns are accompanied by very severe pain, although the burned surface itself is insensitive to touch. Later, the dead tissue is rejected (demarcation) and granulations and scars are formed. Such burns occur when exposed to open fire, prolonged exposure to boiling water, hot vegetable oil, etc. and often require surgical treatment - skin grafting.

IV degree- carbonization of fabrics.

What are the common symptoms of burns?
In addition to local changes, burns cause general symptoms in the form of shock, and then burn disease caused by pain, loss of blood plasma, and poisoning of the body when absorbing tissue protein breakdown products. The severity of the disorders is directly proportional to the surface of the burn. The more extensive the burn, the greater the plasma loss (tissue swelling and blisters) and the higher the risk of developing shock. Therefore, in addition to the depth of the burn, its area is also very important.

How to determine the area of ​​the burn?
There are many schemes and tables for determining the burn area. You can calculate the area of ​​the burn based on the area of ​​the patient's palm, which is about 1% of the body surface. A simplified method for determining the area of ​​burns is shown in Fig. 122.
Each burn of the first and third degrees, amounting to 15-20% of the body surface in an adult and 10% in children or older people, leads to significant plasma loss, which causes burn shock and threatens the life of the patient. In such cases, hospital treatment is necessary. Burns over 50% of the body surface, especially in children and the elderly, usually lead to death. In younger children, death can also occur with burns of 10-15% of the body surface within 24-48 hours after the burn.

What should you do in case of burns?
Any burn must be considered severe, since it is not always as mild as it seems at first glance. It should be remembered that deep burns can be painless as a result of the destruction of nerve endings in the wound and therefore do not immediately seem so formidable. In any case, with the exception of very minor injuries, it is necessary to consult a doctor to determine treatment tactics.
In case of an extensive and severe burn, the patient must be taken to the hospital as quickly as possible. During transportation, the victim must be protected from heat loss. Immediately after the injury, the burned surface should be opened. If clothing or shoes are difficult to remove, cut them quickly. Clothing stuck to the body should be cut off at the edges of the wound (i.e. on the healthy skin side) and under no circumstances should it be pulled away from the wound. If the burn area is very large and there is no sterile material of suitable size, the patient should be wrapped in an ironed blanket, or better yet a sheet, and then covered over the “bandage.” In case of a burn to the hand, it is necessary to immediately remove the ring, rings, bracelets, even cutting them, since as swelling increases, these jewelry will contribute to tissue necrosis due to pressure.

For burns accompanied by severe pain, it is necessary to give an anesthetic: analgin, paracetamol. Stronger analgesics are used as prescribed by a doctor. You can give sedatives once (for example, one tablet of diazepam).

Is it possible to give plenty of fluids for burns?
Each burn patient should be given plenty of warm fluids: tea, juices, milk or lightly salted water.

What should not be done in case of burns?
The first aid provider's job is not to treat, but to prevent infection and necrosis.
It is a mistake to lubricate the surface of the burn with ointments, vegetable oil or chicken egg white, as they can infect the wound. You should also not puncture or pick the blisters. This promotes infection and wound formation. The epidermis, raised by tissue fluid, becomes an ideal biological dressing.
The course of a burn disease largely depends on the method of first aid. Using cold lotions after a burn or washing the affected surface under running cold (about 20 ° C) water or in a bath of cold water (if it is a limb) reduces not only pain and swelling, but also the depth of the burn. You can cool the damaged area not even immediately, but within 60 minutes after the burn. Cooling time is no more than 20-30 minutes. This method is widely used in the practice of providing first aid for burns. After cooling, the skin around the burn is treated with alcohol or vodka and a sterile dry bandage is applied to the wound, which should be comfortable and not put pressure. After a few days, under a bandage, the blisters subside, the epidermis sloughs off, and the surface of the burn heals. This tactic should be followed in the absence of an open wound surface, i.e. with a burn of I-II degree.
A painful, open wound surface that bleeds when touched, which can become infected, can be poured with alcohol, then covered with a sterile napkin and bandaged. Dousing with alcohol reduces pain and promotes the formation of a tender scab under which the burn heals. If the body temperature is normal, there is no pain in the wound area, the bandage can be left on for 3-5 days. During this time, the wound almost heals.
For burns of the face and neck, bandages are practically not applied (they are uncomfortable) and the wounds heal openly. Bandages are not applied for extensive burns of the torso, while the patients are on special mattresses, the contacting material is sterile. Constant heat is maintained.

What is the basis of burn treatment?
Treatment of burns includes fighting infection, replacing blood and protein loss, and if necessary, skin grafting to cover wound surfaces and prevent severe scarring. As with wounds, tetanus is prevented for burns by administering antitetanus serum or toxoid (as prescribed by a doctor).

What is the prevention of burns?
Most often, burns occur in children aged 3 years and older who do not understand the danger. More than 90% of burns in children occur at home and are caused by insufficient parental attention.

Burn– tissue damage caused by local exposure to high temperatures (more than 55-60 C), aggressive chemicals, electric current, light and ionizing radiation. There are 4 degrees of burns based on the depth of tissue damage. Extensive burns lead to the development of the so-called burn disease, which is dangerously fatal due to disruption of the cardiovascular and respiratory systems, as well as the occurrence of infectious complications. Local treatment of burns can be carried out open or closed. It is necessarily supplemented with analgesic treatment, according to indications - antibacterial and infusion therapy.

General information

Burn– tissue damage caused by local exposure to high temperatures (more than 55-60 C), aggressive chemicals, electric current, light and ionizing radiation. Minor burns are the most common injury. Severe burns are the second leading cause of accidental death, second only to motor vehicle accidents.

Classification

By localization:
  • skin burns;
  • eye burns;
  • inhalation injuries and burns of the respiratory tract.
According to the depth of the lesion:
  • I degree. Incomplete damage to the surface layer of the skin. Accompanied by redness of the skin, slight swelling, and burning pain. Recovery in 2-4 days. The burn heals without a trace.
  • II degree. Complete damage to the surface layer of the skin. Accompanied by burning pain and the formation of small blisters. When the blisters are opened, bright red erosions are exposed. Burns heal without scarring within 1-2 weeks.
  • III degree. Damage to the superficial and deep layers of the skin.
  • IIIA degree. The deep layers of the skin are partially damaged. Immediately after the injury, a dry black or brown crust forms - a burn scab. When scalded, the scab is whitish-grayish, moist and soft.

The formation of large bubbles prone to coalescence is possible. When the blisters are opened, a motley wound surface is exposed, consisting of white, gray and pink areas, on which a thin scab resembling parchment is subsequently formed during dry necrosis, and a wet grayish fibrin film is formed during wet necrosis.

Pain sensitivity of the damaged area is reduced. Healing depends on the number of remaining islands of intact deep layers of skin at the bottom of the wound. With a small number of such islands, as well as with subsequent suppuration of the wound, independent healing of the burn slows down or becomes impossible.

  • IIIB degree. Death of all layers of skin. Possible damage to subcutaneous fat tissue.
  • IV degree. Charring of the skin and underlying tissues (subcutaneous fat, bones and muscles).

Burns of degrees I-IIIA are considered superficial and can heal on their own (unless secondary deepening of the wound occurs as a result of suppuration). For IIIB and IV degree burns, removal of necrosis followed by skin grafting is required. An accurate determination of the degree of burn is possible only in a specialized medical institution.

By type of damage:

Thermal burns:

  • Flame burns. As a rule, II degree. Possible damage to a large area of ​​skin, burns to the eyes and upper respiratory tract.
  • Liquid burns. Mostly II-III degree. As a rule, they are characterized by a small area and large depth of damage.
  • Steam burns. Large area and shallow depth of damage. Often accompanied by a burn of the respiratory tract.
  • Burns from hot objects. II-IV degree. Clear boundary, significant depth. Accompanied by detachment of damaged tissues when contact with the object ceases.

Chemical burns:

  • Acid burns. When exposed to acid, coagulation (folding) of the protein in the tissue occurs, which causes a shallow depth of damage.
  • Alkali burns. In this case, coagulation does not occur, so the damage can reach significant depth.
  • Burns from heavy metal salts. Usually superficial.

Radiation burns:

  • Burns due to exposure to sunlight. Usually I, less often – II degree.
  • Burns resulting from exposure to laser weapons, airborne and ground-based nuclear explosions. Cause instant damage to parts of the body facing the direction of the explosion, and may be accompanied by eye burns.
  • Burns resulting from exposure to ionizing radiation. As a rule, superficial. They heal poorly due to concomitant radiation sickness, which increases the fragility of blood vessels and impairs tissue restoration.

Electrical burns:

Small area (small wounds at the charge entry and exit points), large depth. Accompanied by electrical trauma (damage to internal organs when exposed to an electromagnetic field).

Damage area

The severity of the burn, prognosis and choice of treatment measures depend not only on the depth, but also on the area of ​​the burn surfaces. When calculating the area of ​​burns in adults in traumatology, the “rule of palm” and “rule of nines” are used. According to the “rule of the palm,” the area of ​​the palmar surface of the hand approximately corresponds to 1% of the body of its owner. According to the "rule of nines":

  • the area of ​​the neck and head is 9% of the total surface of the body;
  • breast – 9%;
  • belly – 9%;
  • posterior surface of the body – 18%;
  • one upper limb – 9%;
  • one hip – 9%;
  • one lower leg with foot – 9%;
  • external genitalia and perineum – 1%.

The child’s body has different proportions, so the “rule of nines” and “rule of the palm” cannot be applied to it. To calculate the burn surface area in children, the Land and Brower table is used. In specialized medical In institutions, the area of ​​burns is determined using special film meters (transparent films with a measuring grid).

Forecast

The prognosis depends on the depth and area of ​​the burns, the general condition of the body, the presence of concomitant injuries and diseases. To determine the prognosis, the lesion severity index (ISI) and the rule of hundreds (RS) are used.

Lesion severity index

Applicable in all age groups. With ITP, 1% of a superficial burn is equal to 1 unit of severity, 1% of a deep burn is 3 units. Inhalation lesions without respiratory dysfunction - 15 units, with respiratory dysfunction - 30 units.

Forecast:
  • favorable – less than 30 units;
  • relatively favorable – from 30 to 60 units;
  • doubtful – from 61 to 90 units;
  • unfavorable – 91 or more units.

In the presence of combined lesions and severe concomitant diseases, the prognosis worsens by 1-2 degrees.

Hundred Rule

Usually used for patients over 50 years of age. Calculation formula: sum of age in years + area of ​​burns in percentage. A burn to the upper respiratory tract is equivalent to 20% skin damage.

Forecast:
  • favorable – less than 60;
  • relatively favorable – 61-80;
  • doubtful – 81-100;
  • unfavorable – more than 100.

Local symptoms

Superficial burns up to 10-12% and deep burns up to 5-6% occur predominantly in the form of a local process. There is no disruption of the activity of other organs and systems. In children, the elderly and people with severe concomitant diseases, the “borderline” between local suffering and the general process can be reduced by half: to 5-6% for superficial burns and up to 3% for deep burns.

Local pathological changes are determined by the degree of the burn, the period of time since the injury, secondary infection and some other conditions. First degree burns are accompanied by the development of erythema (redness). Second degree burns are characterized by vesicles (small blisters), while third degree burns are characterized by bullae (large blisters with a tendency to merge). When the skin peels off, spontaneously opens or removes the blister, erosion (bright red bleeding surface, devoid of the superficial layer of skin) is exposed.

With deep burns, an area of ​​dry or wet necrosis forms. Dry necrosis is more favorable and looks like a black or brown crust. Wet necrosis develops when there is a large amount of moisture in the tissues, large areas and a large depth of the lesion. It is a favorable environment for bacteria and often spreads to healthy tissue. After rejection of areas of dry and wet necrosis, ulcers of varying depths are formed.

Burn healing occurs in several stages:

  • Stage I. Inflammation, cleansing the wound from dead tissue. 1-10 days after injury.
  • Stage II. Regeneration, filling the wound with granulation tissue. Consists of two substages: 10-17 days - cleansing the wound of necrotic tissue, 15-21 days - development of granulations.
  • Stage III. Scar formation, wound closure.

In severe cases, complications may develop: purulent cellulite, lymphadenitis, abscesses and gangrene of the extremities.

General symptoms

Extensive lesions cause burn disease - pathological changes in various organs and systems, in which protein and water-salt metabolism is disrupted, toxins accumulate, the body's defenses are reduced, and burn exhaustion develops. Burn disease, combined with a sharp decrease in motor activity, can cause dysfunction of the respiratory, cardiovascular, urinary system and gastrointestinal tract.

Burn disease occurs in stages:

Stage I. Burn shock. Develops due to severe pain and significant loss of fluid through the surface of the burn. Represents a danger to the patient's life. Lasts 12-48 hours, in some cases – up to 72 hours. A short period of excitement is replaced by increasing retardation. Characterized by thirst, muscle tremors, chills. Consciousness is confused. Unlike other types of shock, blood pressure rises or remains within normal limits. The pulse quickens and urine output decreases. The urine becomes brown, black or dark cherry, and has a burning smell. In severe cases, loss of consciousness is possible. Adequate treatment of burn shock is possible only in specialized medical care. institution.

Stage II. Burn toxemia. Occurs when tissue breakdown products and bacterial toxins are absorbed into the blood. Develops within 2-4 days from the moment of injury. Lasts from 2-4 to 10-15 days. Body temperature is increased. The patient is excited, his consciousness is confused. Convulsions, delirium, auditory and visual hallucinations are possible. At this stage, complications from various organs and systems appear.

From the cardiovascular system - toxic myocarditis, thrombosis, pericarditis. From the gastrointestinal tract - stress erosions and ulcers (may be complicated by gastric bleeding), dynamic intestinal obstruction, toxic hepatitis, pancreatitis. From the respiratory system - pulmonary edema, exudative pleurisy, pneumonia, bronchitis. From the kidneys – pyelitis, nephritis.

Stage III. Septicotoxemia. It is caused by a large loss of protein through the wound surface and the body’s response to infection. Lasts from several weeks to several months. Wounds with a large amount of purulent discharge. Healing of burns stops, areas of epithelialization decrease or disappear.

Characterized by fever with large fluctuations in body temperature. The patient is lethargic and suffers from sleep disturbances. No appetite. There is a significant weight loss (in severe cases, a loss of 1/3 of body weight is possible). Muscles atrophy, joint mobility decreases, and bleeding increases. Bedsores develop. Death occurs from general infectious complications (sepsis, pneumonia). In a favorable scenario, the burn disease ends with recovery, during which the wounds are cleaned and closed, and the patient’s condition gradually improves.

First aid

Contact with the damaging agent (flame, steam, chemical, etc.) must be stopped as quickly as possible. In case of thermal burns, the destruction of tissue due to their heating continues for some time after the cessation of the destructive effect, so the burned surface must be cooled with ice, snow or cold water for 10-15 minutes. Then, carefully, trying not to damage the wound, cut off the clothing and apply a clean bandage. A fresh burn should not be lubricated with cream, oil or ointment - this can complicate subsequent treatment and impair wound healing.

For chemical burns, rinse the wound thoroughly with running water. Burns with alkali are washed with a weak solution of citric acid, burns with acid - with a weak solution of baking soda. A burn with quicklime should not be washed with water; instead, vegetable oil should be used. For extensive and deep burns, the patient must be wrapped up, given painkillers and a warm drink (preferably a soda-salt solution or alkaline mineral water). A burn victim should be taken to a specialized medical facility as quickly as possible. institution.

Treatment

Local therapeutic measures

Closed treatment of burns

First of all, the burn surface is treated. Foreign bodies are removed from the damaged surface, and the skin around the wound is treated with an antiseptic. Large bubbles are trimmed and emptied without removal. The peeled skin adheres to the burn and protects the wound surface. The burned limb is placed in an elevated position.

At the first stage of healing, drugs with analgesic and cooling effects and medications are used to normalize the condition of tissues, remove wound contents, prevent infection and reject necrotic areas. Aerosols with dexpanthenol, ointments and solutions on a hydrophilic basis are used. Antiseptic solutions and hypertonic solution are used only when providing first aid. In the future, their use is impractical, since the dressings dry out quickly and prevent the outflow of contents from the wound.

In case of IIIA burns, the scabs are preserved until they are rejected on their own. First, aseptic dressings are applied, and after the scab is rejected, ointment dressings are applied. The purpose of local treatment of burns at the second and third stages of healing is protection against infection, activation of metabolic processes, and improvement of local blood supply. Medicines with hyperosmolar action, hydrophobic coatings with wax and paraffin are used to ensure the preservation of the growing epithelium during dressings. For deep burns, the rejection of necrotic tissue is stimulated. Salicylic ointment and proteolytic enzymes are used to melt the scab. After cleansing the wound, skin grafting is performed.

Open treatment of burns

It is carried out in special aseptic burn wards. Burns are treated with drying antiseptic solutions (potassium permanganate solution, brilliant green, etc.) and left without a bandage. In addition, burns of the perineum, face, and other areas that are difficult to apply a bandage are usually treated openly. In this case, ointments with antiseptics (furacilin, streptomycin) are used to treat wounds.

A combination of open and closed methods of treating burns is possible.

General therapeutic measures

Patients with recent burns have increased sensitivity to analgesics. In the early period, the best effect is ensured by frequent administration of small doses of painkillers. Subsequently, an increase in dose may be required. Narcotic analgesics depress the respiratory center and are therefore administered by a traumatologist under breathing control.

The selection of antibiotics is based on determining the sensitivity of microorganisms. Antibiotics are not prescribed prophylactically, as this can lead to the formation of resistant strains that are resistant to antibiotic therapy.

During treatment, it is necessary to replace large losses of protein and fluid. For superficial burns of more than 10% and deep burns of more than 5%, infusion therapy is indicated. Under the control of pulse, diuresis, arterial and central venous pressure, the patient is administered glucose, nutrient solutions, solutions to normalize blood circulation and acid-base status.

Rehabilitation

Rehabilitation includes measures to restore the patient’s physical (therapeutic gymnastics, physiotherapy) and psychological state. Basic principles of rehabilitation:

  • early onset;
  • clear plan;
  • eliminating periods of prolonged immobility;
  • constant increase in physical activity.

At the end of the primary rehabilitation period, the need for additional psychological and surgical assistance is determined.

Inhalation lesions

Inhalation injuries occur as a result of inhalation of combustion products. They develop more often in people who have received burns in a confined space. They aggravate the victim’s condition and can pose a danger to life. Increase the likelihood of developing pneumonia. Along with the area of ​​burns and the age of the patient, they are an important factor influencing the outcome of the injury.

Inhalation lesions are divided into three forms, which can occur together or separately:

Carbon monoxide poisoning.

Carbon monoxide prevents the binding of oxygen to hemoglobin, causing hypoxia, and with a large dose and prolonged exposure, death of the victim. Treatment is artificial ventilation with 100% oxygen.

Burns of the upper respiratory tract

Burn of the mucous membrane of the nasal cavity, larynx, pharynx, epiglottis, large bronchi and trachea. Accompanied by hoarseness of voice, difficulty breathing, sputum with soot. Bronchoscopy reveals redness and swelling of the mucous membrane, in severe cases - blisters and areas of necrosis. Swelling of the airways increases and reaches its peak on the second day after injury.

Damage to the lower respiratory tract

Damage to the alveoli and small bronchi. Accompanied by difficulty breathing. If the outcome is favorable, it will be compensated within 7-10 days. May be complicated by pneumonia, pulmonary edema, atelectasis and respiratory distress syndrome. Changes on the x-ray are visible only on the 4th day after the injury. The diagnosis is confirmed when the partial pressure of oxygen in arterial blood decreases to 60 mm or lower.

Treatment of burns of the respiratory tract

Mostly symptomatic: intensive spirometry, removal of secretions from the respiratory tract, inhalation of a humidified air-oxygen mixture. Prophylactic treatment with antibiotics is ineffective. Antibacterial therapy is prescribed after bacterial culture and determination of the sensitivity of pathogens from sputum.

  1. Algorithm of actions
  2. Swelling due to burn
  3. Why does sunburn and swelling occur?

What to do if there is swelling:

To prevent possible inflammation, the first thing you should not do in case of a thermal burn is to tear off clothing from the site of injury, and also smear the wound area with oil. For large and deep areas of damage, you must immediately call an ambulance.

First aid for sunburn at home is acceptable if there are minor areas of skin damage and the victim is feeling stable. If your health condition worsens, this is a reason to immediately consult a doctor.

Even a minor burn can swell and the patient needs to urgently do something in this situation. Skin damage as a result of thermal, chemical, radiation or electrical damage is divided into several degrees, where in grade I only the skin is affected, and in stage IV destruction of muscles and bones occurs.

A tumor due to a burn and the question of what to do in such a situation are quite normal. Swelling against the background of thermal damage to the skin is nothing more than a natural reaction of the body to an external damaging irritant. If the swelling lasts for several days and does not cause much concern, you can get by with the following recommendations:

First aid for a 1st degree burn can be provided at home. Doctor's supervision is required only if others are added to the existing symptoms, and the victim's well-being worsens every day.

It occurs as a result of prolonged exposure to active sunlight. In this case, dizziness, increased body temperature, the formation of blisters and, of course, swelling of the skin may occur.

Subcutaneous edema occurs as a result of the accumulation of excess fluid secreted by blood vessels. In simple terms, the body cannot fully cope with the fluid due to the presence of damaged tissue.

What to do if your face is swollen after a sunburn:

  1. If you experience severe pain, take a pain reliever;
  2. Lubricate your face with anti-burn ointment (D-panthenol, Bepanten)
  3. If symptoms do not go away and new ones appear (for example, fever), consult a doctor.

If your legs are swollen after a sunburn, then as a treatment you need to do all of the above + keep them in an upright position for better blood flow and move less.

The degree of swelling increases depending on the severity of the burn damage and the location of the affected tissue. Considering this factor, you should treat your health wisely and consult a doctor to receive qualified help.

pervpomosh.ru

Redness around the burn

If you did not find the information you need among the answers to this question, or your problem is slightly different from the one presented, try asking an additional question to the doctor on the same page, if it is related to the topic of the main question. You can also ask a new question, and after a while our doctors will answer it. It's free. You can also search for the information you need in similar questions on this page or through the site search page. We will be very grateful if you recommend us to your friends on social networks.

The medical portal 03online.com provides medical consultations via correspondence with doctors on the website. Here you get answers from real practitioners in your field. Currently, on the website you can get advice in 45 areas: allergist, venereologist, gastroenterologist, hematologist, geneticist, gynecologist, homeopath, dermatologist, pediatric gynecologist, pediatric neurologist, pediatric surgeon, pediatric endocrinologist, nutritionist, immunologist, infectious disease specialist, cardiologist, cosmetologist, speech therapist, ENT specialist, mammologist, medical lawyer, narcologist, neurologist, neurosurgeon, nephrologist, oncologist, oncourologist, orthopedist-traumatologist, ophthalmologist, pediatrician, plastic surgeon, proctologist, psychiatrist, psychologist, pulmonologist, rheumatologist, sexologist-andrologist, dentist, urologist, pharmacist, herbalist, phlebologist, surgeon, endocrinologist.

We answer 95.53% of questions.

Stay with us and be healthy!

03online.com

My leg is swollen after a burn

If your leg is swollen after a burn, this is normal in most cases; such injuries often cause minor swelling. To reduce pain and accompanying symptoms, it is necessary to carry out several simple therapeutic procedures.

Causes

Swelling after a burn is a natural reaction to soft tissue damage. This is due to the fact that excess physiological fluid accumulates in the subcutaneous layer, which is released in the blood vessels.

Swelling after a burn is a consequence of the fact that as a result of the injury, the body cannot get rid of the entire volume of fluid.

Visually, the patient exhibits swelling of varying severity and redness. An inflammatory process develops inside, and until it passes, the swelling will not subside.

Emergency help

Competent first aid for burns will help reduce swelling after a burn, minimize pain, prevent infection, inflammation and other complications:

  1. After getting rid of shoes and clothing in the affected area, rinse the injured area under cool running water.
  2. Treat with antiseptic: Chlorhexidine, Furacilin.
  3. In case of a burn, what should you do to minimize swelling? If the integrity of the skin is not compromised, it is allowed to apply ice compresses previously wrapped in a clean soft cloth. And it is also necessary to place the injured limb above the level of the body, for example, on pillows or a bolster.
  4. Treat the wound with an anti-burn agent: Bepantel, Panthenol, Olazol.
  5. If necessary, take a drug for pain relief: Ibuprofen, Paracetamol, Nimid, Analgin.

Drug treatment

You can get burned at home, in nature, on a hike; in this case, standard aspirin, which can be found in any housewife’s first aid kit, will help relieve swelling. The drug should be taken 2 tablets every 6 hours for 3 days. If the swelling does not go away, it is necessary to take more effective measures, after consulting with a doctor.

After a burn with boiling water, my leg is swollen, what to do:

  1. Levomekol ointment is applied under the bandage in a thick layer, promotes skin regeneration, eliminates swelling, inflammation, and has antibacterial properties.
  2. Anti-burn patch "Apollo" based on gel helps to disinfect the injury, reduce swelling after a burn and relieve pain from the wound.
  3. The effective Olazol aerosol or Solcoseryl ointment also relieves swelling, helps relieve inflammation and eliminate pain, and has wound-healing properties.
  4. Antiseptic balm “Rescuer” will help you quickly get rid of swelling; it accelerates the process of tissue restoration and prevents the development of inflammation.

Important! If after several days of treatment, the swelling after the burn does not decrease, or the body temperature rises, you should immediately consult a doctor.

What not to do?

There are a number of rules, following which it is possible to prevent a swollen leg and many other unpleasant consequences after a burn:

  • Do not use antiseptics such as potassium permanganate, iodine, or alcohol tinctures for treatment.
  • If swelling appears after a burn with boiling water, under no circumstances should you smear the injured area with fat or fermented milk products (kefir, yogurt).
  • Do not touch the damaged area with dirty hands.

Important! If your leg is swollen after a burn, or shoes or clothing are stuck to the injury site, do not rip them off, carefully cut and free your leg.

Such actions can significantly aggravate the situation, lead to wound infection and complications.

Traditional methods

Over the years, alternative medicine recipes have proven their safety and effectiveness in eliminating swelling:

  • If there is swelling from a burn, what should you do at home? For slight swelling, a compress of freshly grated raw potatoes is good. Applying the paste to the damaged area will reduce the pain and swelling will go away.
  • A good aid for burns is a cabbage leaf, which must be applied to the wound and covered with a sterile, loose bandage.
  • An effective treatment for edema is to use aloe juice. It is necessary to peel the leaf, apply the pulp to the site of swelling and keep for at least 10 hours.
  • An infusion of St. John's wort flowers effectively copes with swelling after thermal injury. To do this, pour 300 ml of alcohol 1 tbsp. l. raw materials, leave for 10 days, stir constantly. Once ready, apply the mixture to the swollen area 2 times a day.

Important! Traditional recipes for the treatment of swelling after a burn should be used only for grade I-II injuries, which are characterized by moderate pain, redness, and small blisters. If the damage is deeper and more extensive, drug therapy is necessary, consult a doctor for an accurate diagnosis and prescription of drugs.

  • Propolis ointment helps relieve complications after burns. Mix 100 g of propolis with 500 ml of oil base; any vegetable oil or animal fat will do. It is necessary to heat the oil in a water bath to 80 °C, carefully add the healing beekeeping product, then stir for 30 minutes at a temperature of 80 °C. After this, you need to cool the mixture for 20 minutes and carefully strain through cheesecloth. The swollen area should be smeared 2-3 times a day until complete recovery.

The area and degree of development of swelling directly depends on the severity of the injury. Considering this, you should treat your health prudently and if swelling, redness and other symptoms appear, seek qualified help.

ozhoginfo.ru

The leg is swollen after a burn with boiling water

Burns from boiling water are a common injury. Appears in adults and children whose parents did not look after them. It is especially unpleasant when your leg is swollen after a burn with boiling water. Proper first aid will help you avoid the risk of a tumor. Spontaneous activity will aggravate the damage.

What to do if your leg is swollen

  1. The damaged area should not be smeared with fat, yogurt, or kefir. If your leg is swollen in the foot area, you need to remove your shoes. If the shoes cannot be removed, you need to carefully cut them.
  2. Do not touch the burn with your hands.
  3. Antiseptics should not be used to treat an open wound. Iodine, alcohol, potassium permanganate can aggravate the situation.
  4. If a blister appears on your leg, do not puncture or remove the liquid.

If you want to smear dairy products on the wound or touch it with your hands, remember the consequences of such hindsight.

The listed methods do not eliminate the lesion. On the contrary, they worsen the condition and can lead to complications. Such actions increase the risk of infection, they leave scars, and the victim loses precious time.

Swelling of the leg

What to do if blisters or swelling appear on your leg

If a lower limb is burned, it is necessary to properly cool the damaged area. Then they give pain relief and provide the necessary assistance. Outside the hospital, it is permissible to treat only 1st and 2nd degree burns. Required:

  1. Immediately remove shoes, socks or stockings. If the fabric sticks, there is no need to tear it off.
  2. The leg is placed under a stream of cool, but not icy, water and covered with a sterile napkin.
  3. To prevent swelling from increasing, the leg should be raised and placed on a cushion.
  4. It is permissible to treat only 1st and 2nd degree burns with a burn preparation.
  5. 3rd and 4th degree burns cannot be treated outside a hospital setting. It is recommended to call emergency assistance.

Complications that are likely after a burn with boiling water most often occur after improper treatment of burns and arise as a result of inflammation of the damaged area or infection.

What causes leg tumors and other complications after burns?

The occurrence of tumors depends on the body’s reaction and individual characteristics. Individual features include:

  • state of the body;
  • number of years;
  • diseases acquired before the injury;
  • occurrence of side diseases.

Hot water burn

A tumor on the leg after a burn is a common occurrence, but not obligatory. After a thermal burn occurs, initial treatment of the foot is extremely difficult; shoes and clothes stick to the foot. Invisible parts of clothing in the form of pieces of fabric and thread remain on the body. Untimely elimination affects the occurrence of complications. The appearance of a tumor is affected by the area of ​​the damaged area.

Classification of complications

A tumor is considered a type of complication. There are groups:

  • tumors caused directly by a burn;
  • complications resulting from improper treatment;
  • resulting from sepsis.

All complications, without exception, that arise after a burn with boiling water arise unexpectedly and develop rapidly. Emergency help is needed to eliminate it.

During the treatment of a leg tumor and after the procedure, remember that the likelihood of complications is high. The prognosis makes it difficult to treat patients. In order for healing to occur faster, you need to comply with the doctors’ requirements and not indulge in self-medication.

How is leg swelling treated after a burn?

In order to properly treat leg tumors, we will learn more about burns, or more precisely, the degrees of burns. The process and result of treatment depends on the type of lesion.

Degrees of surface damage resulting from burns (from first to fourth):

  1. Rapid redness and swelling. The appearance of blisters filled with transparent liquid inside.

    Swelling after a burn

  2. The appearance of blisters, gradually turning into a scab.
  3. Damage to the skin to muscle tissue, further formation of a scab on the skin.
  4. Deep and dangerous damage to the skin down to the bone.

Drugs that prevent leg swelling after a burn

After a burn, a blister appears immediately, but the leg does not swell. It is prohibited to puncture the blister. It is better to wait until it dries and the liquid pours out. The blister will prevent germs from entering the wound. The new layer of skin under the blister has a delicate structure. New skin must be protected and constantly lubricated with a gentle cream or special ointment that promotes regeneration of the skin on the leg.

With poor treatment, the damaged area becomes infected and the leg swells. As a result of the inflammatory process, body temperature rises and weakness appears. My leg hurts a lot, I can’t stand on the limb. Symptoms indicate delayed healing.

The leg swells after bacteria enter the body through the skin. Damaged areas can fester and become inflamed. The leg begins to itch and a burning sensation appears inside. The problem is eliminated through surgery.

Medicines and ointments used to eliminate burns depending on the stages

Several types of medicines are known: ointments, special dressings. Recently, creams, gels, and aerosols have found widespread use.

  1. “Procelan” is distinguished by its antiseptic properties and exhibits an analgesic effect. “Povidone-iodine” is an ointment that disinfects the damaged area and accelerates the process of skin renewal. “Rescuer” is a balm consisting of natural substances that reduce swelling, eliminate pain, and has antibacterial properties. Levomekol and Panthenol ointments help eliminate the infection.
  2. A burn from boiling water is extremely painful. Complications that arise are accompanied by swelling, swelling, an unpleasant burning sensation and an increase in body temperature. Touching the wound is not recommended. It is recommended to use sprays as medications; they are applied to the surface without using hands or swabs.
  3. Anti-burn dressings, which are necessary in every first aid kit, are considered an additional effective remedy. For example, “Apollo” is a gel bandage that eliminates pain and cools the wound.
  4. To avoid the appearance of a tumor after a burn, it is permissible to lubricate the affected area with Solcoseryl or Olazole.
  5. Solcoseryl is prescribed in case of any skin damage, including thermal burns.
  6. Olazol has an analgesic effect. The product prevents the growth of bacteria. It is better to use drugs in the form of aerosols.
  7. For pain relief, the victim is offered analgin.

Analgin for pain

Home Remedies to Prevent Leg Swelling Due to Boiling Water Burns

  1. If the wound is minor and the swelling is small, you can use home remedies to eliminate the damage. Raw grated potatoes will help eliminate pain and relieve swelling. Apply potato pulp to the affected area and cover with a sterile napkin. After heating, replace the mass with a new one.
  2. Thermal damage and subsequent swelling are eliminated with the help of potato starch. The product is applied in a thick layer to the damaged area, covered with cotton wool and bandaged tightly.
  3. To avoid swelling, it is possible to apply a cabbage leaf to the affected area. As a result, the pain goes away after some time and the swelling subsides.
  4. To eliminate swelling on the leg, use aloe leaf. You need to free the leaf from the rough crust, apply it to the burn or crush it into a fine paste. Aloe is kept near the burn for 12 hours. The leg will begin to heal faster.
  5. Eliminating tumors with St. John's wort. Grind St. John's wort flowers and add a glass of alcohol. The mixture is infused for 10 days. Stir the solution daily. After 10 days, you can wipe the swollen area with the tincture.
  6. Eliminating tumors with propolis. Cool the product in the freezer, mix with dried St. John's wort flowers (4 tablespoons of crushed dried flowers per 2 cups of propolis). Infuse propolis in the sun for two weeks. It is recommended to stir or shake the container once a day.

Folk remedies are considered indispensable assistants for people who prefer to be treated with natural medicines. But a positive effect should be expected only when the victim has already received qualified medical care.

A burn is a traumatic injury to the skin and underlying tissues. Burns to the feet are common in everyday life and when performing work duties. In domestic conditions, a common burn to the foot with boiling water, and in the workplace, a common traumatic injury is a burn from various chemicals. According to their type, burns are divided into thermal, chemical, radiation, radiation, and electrical.

The severity of the traumatic injury depends on several factors: the duration of exposure to the aggressor, the nature of its development, the degree of concentration, etc. After an injury, the victim should immediately receive first aid; further successful treatment of the burn depends on the timeliness and effectiveness of this procedure.

The burn of the lower extremities has 4 degrees of severity.

  • First degree. In case of burn damage, only the top layer of the skin is damaged. There is noticeable redness and slight swelling on the leg. The victim feels aching pain. This degree of damage does not require medical intervention. As a rule, such a burn goes away on its own within a few days.
  • Second degree. After a burn, the victim develops redness, swelling on the lower limb, and watery blisters with a thin wall form. The victim experiences severe pain. Such a burn is cured within 10-12 days. It is important to ensure that no infection gets into the affected area, so it is strictly forbidden to open the blisters yourself.
  • Third degree. Traumatic injury affects the skin and adjacent tissues. Symptoms of a third degree burn are the formation of watery blisters with thick walls, and a scab appears. With a more serious burn, tissue necrosis (death) occurs, the wound rots, and after treatment, scars appear at the burn site.
  • Fourth degree. The most difficult stage is characterized by damage not only to the superficial skin layer, but also to internal muscles and bones. At the site of damage, charring and a black scab are observed. Often this degree of severity of the burn is incompatible with the life of the victim.

In case of a 1st degree burn, going to a medical facility is not required; the victim can carry out independent treatment. For a 2nd degree burn, a doctor's examination is required, especially when the integrity of the watery blisters is compromised. It is very important to prevent the spread of infection at the wound site. 3rd and 4th degree burns can only be treated in a medical facility. In case of serious burns, the victim should be taken to the hospital as soon as possible and given timely assistance.

Swelling and swelling of the leg due to a burn

The appearance of leg swelling after a burn injury is a normal reaction of the body to an irritant. As a rule, with minor injuries, the swelling disappears on its own within a few days, but if the swelling persists for a long time, then we can talk about infection of the skin tissues.

First aid for swelling after a burn consists of the following:

  • rinse the damaged area with cool water;
  • treat the wound surface with an antiseptic;
  • take antibiotics.

For minor swelling, aspirin tablets will help relieve pain and reduce swelling. The victim needs to take 2 tablets of this medication every 6 hours. The duration of treatment depends on the size of the swelling. As a rule, 3 days are enough to completely eliminate leg swelling. If self-therapy does not help and the tumor persists, the victim must urgently contact a medical facility.

Only a doctor can treat long-term edema with complications. The treatment method is surgery, in which the infected tissue is removed and the wound is washed. After surgery, drug treatment is used using antiseptic and anti-inflammatory ointments.

Levomekol ointment has good anti-edema properties. This anti-inflammatory agent eliminates inflammation on the wound and has a beneficial effect on the rapid healing of the wound. The ointment is applied directly to the wound surface, and a gauze bandage is applied on top.

Magnetic therapy helps relieve swelling from the leg after a burn. Physiotherapy using a magnet has a wound-healing, anti-inflammatory, and analgesic effect. Moreover, magnetic therapy prevents the formation of scars after a burn.

Treatment and first aid

After a burn injury to the leg, the victim should be provided with emergency primary care.

  • Remove clothing and shoes from the affected leg. If the fabric is stuck to the skin, you need to carefully cut the fabric with scissors and carefully separate it from the skin. It is prohibited to rip or tear off clothing.
  • Cool the affected lower limb with cool water. The exposure time of water on the skin should be at least 15 minutes.
  • In case of a chemical burn, it is necessary to neutralize the aggressor of the burn. The acid is neutralized with alkaline solutions (soda or soap solution). Alkali is neutralized by acids (acetic, citric, tartaric acid).
  • In case of a 1st degree burn, lubricate the affected skin with Panthenol ointment.
  • For a 2nd degree burn, after treating the wound surface with Panthenol ointment, apply a sterile bandage.
  • For complicated burns, immediately call an ambulance. Give the victim a pain reliever and provide him with plenty of fluids.

Treatment of 1st degree burns: Bepanten ointment is applied to the affected area. After treatment with ointment, it is necessary to apply a gauze bandage, which is not removed for 4 days. After this time, the wound heals.

Treatment of a 2nd degree burn: the victim is given first aid and then sent to a medical facility. Treatment of such a burn is carried out using painkillers and antiseptics. To prevent the development of infection, the wound is treated with bactericidal ointment - Streptomycin. A sterile bandage must be applied to the burn site, which is changed every day.

Treatment of 3rd and 4th degree burns: after timely provision of primary care, the victim is taken to a medical facility, where the patient is given anti-shock therapy, and then individual treatment is prescribed. All medicinal actions are aimed at eliminating dead tissue at the burn site and preventing the inflammatory process. To restore the integrity of the skin, skin grafting and excision of the area of ​​necrosis are used.

Sunburn on the feet

As a result of prolonged exposure to sunlight on the human body, sunburn of the legs often occurs. Its symptoms are: redness of the skin, swelling, formation of watery blisters, increased body temperature, dizziness.

You can treat a sunburn yourself, but if treatment methods only aggravate a person’s painful condition, then he needs to go to a medical facility.

If you have a sunburn, the following therapy is used:

  • take an antihistamine;
  • free your legs from moving, if possible, keep them in an upright position;
  • lubricate the lower limbs with moisturizing cream or anti-burn ointment. Traditional medicine recommends lubricating burns with sour cream or other fermented milk product;
  • in case of acute pain, take an anesthetic.

Foot burn from boiling water

The degree of damage from boiling water depends on the duration of exposure to the aggressor. In any case, the victim is first provided with primary care, and then, if necessary, he is taken to a medical facility.

First aid for a burn with boiling water:

  • remove clothing;
  • rinse the wound with cool water;
  • treat with an antiseptic;
  • If blisters form, apply a sterile bandage.

You can treat 1st degree burns yourself. In this case, the wound is treated with Bepanten or Panthenol ointment. Traditional medicine recommends treating areas after a burn with boiling water, aloe juice, raw egg white or honey.

For a 2nd degree burn, treatment is carried out first in a medical facility, and then the patient uses independent treatment methods. When watery blisters form after a burn with boiling water, their integrity must not be damaged. While blisters are present, it is necessary to lubricate the affected area with antimicrobial ointment and apply an antiseptic bandage to the wound.

Chemical burn to the leg

Further rapid treatment of the burn depends on the timeliness of first aid.

First aid for a chemical burn:

  • remove clothing;
  • wash the burn area with cool water;
  • neutralize the burn aggressor. For alkali damage, citric or acetic acid is used. In case of a burn with acids, the burn site is treated with soda or soap solution;
  • As a result of a quicklime burn, the use of water is strictly prohibited. In this case, the neutralizer is butter or fat, which is used to lubricate the damaged area.

After providing primary care, the victim must be taken to a medical facility. When drug treatment is completed, you can use folk recipes for burns that will help restore skin tissue and get rid of unpleasant sensations:

  • Lubricate the burn site with sea buckthorn oil;
  • To eliminate itching, lubricate the burned area in a decoction of oak bark.

Burn on a child's leg

If a traumatic injury occurs in a child, then independent treatment methods cannot be used. After providing primary care, the baby in any case needs to be shown to a doctor, who will make a diagnosis, determine the extent of the damage and prescribe appropriate treatment.

In consultation with the doctor, you can use traditional methods to treat a burn, which will help relieve pain and itching:

  • grated pumpkin pulp;
  • fresh potato gruel;
  • raw egg white;

Read with this too.