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Emergency First Aid for Children8. Burns and
Scalds
"In the UK, someone is scalded or burnt every 90 seconds. Each year
112,000 people have to go to casualty with scalds or burns.
Another 250,000 have to consult their doctor.* "
* DTI figures for 1999
Burns and Scalds
The First Aider should:
• Establish your own safety
• Stop the burning by rapid cooling
• Cover the injury
• Obtain appropriate medical treatment
Pages 60-61
Burns and Scalds
• The First Aider SHOULD NOT:
• Touch the burnt area• Break blisters or remove loose skin• Use adhesive, dry or fluffy dressings• Apply anything (lotions, ointments etc) to the
burnt area• Over-cool the casualty
• Apply water under pressure
Pages 60-61
Burns and Scalds
• Types / Causes of burns
» Dry Burns» Wet Burns» Cold Burns» Friction Burns» Radiation Burns» Electrical Burns» Chemical Burns
Pages 60-61
Assessing Burns
Pages 60-61
Assessing Burns
Pages 60-61
Assessing Burns
Pages 60-61
Severe Burns and Scalds
Aims• Halt the burning process• Resuscitate if necessary• Treat associated injuries• Minimise risk of infection• Arrange urgent removal
to hospital
Pages 60-61
Severe Burns and ScaldsTreatment
• Lay casualty down – protecting burned area
• Douse burn with copious amounts of cold water (thorough cooling may take 10 minutes)
• While cooling, check airway, breathing, pulse
• Carefully remove rings watches etc
• Carefully remove burned clothing unless it is sticking to the wound
Cooled clothing removed, and
cool again
Pages 60-61
Burns and Scalds
Dressings• Cover the burn with clean, non-fluffy
material to protect it from infection. The dressing does not need to be secured.
Alternate Dressing• To dress a burned hand or foot – you can
use a plastic bag or kitchen fil. Secure the bag with a bandage or plaster around the bag, not the skin.
Pages 60-61
Burns to Mouth and Throat
• Burns in this area are very serious as they can cause swelling and inflammation of the air passage. If necessary loosen clothing from around the neck
Call for an ambulance immediately
Pages 60-61
Electrical Burn
• An electric shock from a low voltage source can result in burns.
• These may occur at both the point of entry and exit of the electric current.
Page 59
"More than 3,000 people a year experience electric shocks in their home.* Electrocution can cause heart failure and is potentially lethal."
* DTI figures for 1999.
Page 59
Electrical Burns
Do NOT touch the casualty directly until you are sure the current is switched off.
Call for an ambulance
Treatment
• Treat as per other burns.• Position and direction of entry and exit wounds will alert you to the likely extent of hidden injury, and to the degree of shock that may ensue.
Pages 59, 60-61
Chemical Burn to Skin
• Chemical burns may be caused by household agents such as oven cleaner or paint stripper.
• The burns are serious but signs develop more slowly than for thermal burns.
Chemical Burn to Skin
Recognising chemical burns
• Fierce stinging pain
• Redness or staining, followed by
• Blistering and peeling
Chemical Burn to SkinTreatment• Wash all traces of the
chemical but holding the affected area under plenty of running water.
• Gently remove any contaminated clothing while flooding the injury
• Loosely cover the burn with clean, non-fluffy material. You can wet the covering material to aid cooling.
Chemical BurnsREMEMBER!
• Note the name of the substance that caused the burn
• Wear protective rubber gloves
• Beware of fumes
• Irrigate for longer than you would for thermal burns
Chemical Burn to the Eye
• Splashes of chemical can cause serious injury if not treated quickly
• They can damage the surface of the eye causing scarring or blindness
Aims
• To disperse the harmful chemical
• To arrange removal to hospital
"There are more than 120,000 accidents involving eye injuries every year.* Many of us have experienced having something in our eye, but the
trick is knowing which injuries you can treat at home and which should be left
to the professionals."
*DTI figures for 1999.
Chemical Burn to the Eye
Treatment• Hold the casualty’s head over a
basin with the “good” eye uppermost.
• Gently irrigate the contaminated eye for at least 10 minutes.
• Ensure both sides of eyelid are thoroughly washed and that water drains away from the face.
Chemical Burn to the Eye
Treatment cont’d
• You may find it easier to use a jug to pour water over the affected area.
• Avoid splashing the “good eye with contaminated water
Chemical Burn to the Eye
Treatment cont’d
• When the injured eye is thoroughly washed, cover it with a sterile dressing. Hold the dressing in place until you get medical aid.
• Take the casualty to hospital, OR• Call an ambulance
Chemical Burn to the EyeREMEMBER !
• DO NOT let the casualty touch his eye.
• The eye will be shut in spasm and pain, so gently pull the eyelids open.
Emergency First Aid for Children
End of Section