Whether the casualty is a minor or a pensioner, when it comes to burns, would you know what to do?
Suggested treatments are updated regularly by the HSE… but it will only take a few minutes to familiarise yourself with the best suggested treatments!
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Burns can be caused by all kinds of sources such as hot water or steam, chemicals, the sun, electricity or fire. Burns are particularly dangerous to the very old or very young, if they involve the airways, or if they cover a large area of the body.
Regardless of the cause of the burn, they usually require the same treatment.
Firstly, remove the heat source is possible. This might be done by the casualty as a reflex reaction, or might involve actions such as a casualty ‘dropping and rolling’ if clothes are on fire.
Cool the burn, ideally under cold or lukewarm running water for at least 20 minutes (up to 45 minutes for a chemical burn such as acid).
Call an ambulance while cooling is taking place if the burn is severe. If you are unsure call 111 for advice.
Dress the burn using burns dressing, or cling film can be used in a single non-constrictive layer. Do not use anything that will stick. Remove loose objects only. Do not remove anything that is stuck to or touching the burn, such as clothing, as this is likely to cause damage to the skin.
Spot The Difference: Major and Minor Burns
Minor Burns usually cause discomfort and stinging. Common examples include sunburn and quick contact burns such as from an iron or hair straighteners. Treat with Cool, Call and Cover- although an ambulance is unlikely to be needed. They are likely to be very sore and have blister formation.
Major Burns are very serious, involving all layers of the skin even as far as fat tissue. There may be damage to the muscle, blood vessels and nerves. This type of burn is sometimes less painful due to nerve damage.
Look out for signs of, and treat, hypovolaemic shock – which might be caused by fluid loss. The size of a burn is linked to the likelihood of shock developing. The larger the burn, the more likely it is that the casualty will suffer shock from fluid loss. Therefore it is useful to be able to give an estimate of the size of the burn if you have to call the emergency services.
As a guide, the casualty’s palm and fingers is approximately 1% of the body size. Burns that are more than 1%, and more than superficial will usually require hospital treatment.
It really is that simple.
In any burns emergency just remember to stay CALM, and to practice the 3 C’s!
Cool, Call, and Cover.
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