The initial treatment of all burns is to first remove the cause of the burn - such as hot oil, water, etc. Submersion into cold water will prevent further damage. Please be very careful not to put too much ice directly on the burn because the ice can cause further tissue damage. Burned tissue leaks enormous amounts of fluid (much more than you think!!!) - the burn victim should drink as much water as possible. I have found that pure or 98% aloe gel stops fluid loss (and reducing tissue damage), reduces pain, aids healing, and prevents worsening of the burn. Frequent applications of aloe may be necessary. Don’t use products with less than 98% aloe gel - the amount of aloe is insufficient and the other creams can be irritating.

Burns are painful - but if they look severe and don’t hurt, medical attention is needed immediately as the nerves have been damaged and the burn is very deep. Acetaminophen (Tylenol) and ibuprofen is acceptable to treat the pain. Sometimes stronger pain relief will be necessary. If the burn appears severe or extensive, medical attention should be sought. Sometimes a tetanus shot will be required. Unless told to do so by a physician, do not use antibiotics - they can make the burn worse. Most burns heal on their own within one to two weeks. The healing burns can itch severely, but it is very important not to scratch them because serious damage can occur - use ice!

Patients suffering from electrical or chemical burns should always seek medical attention, especially if toxic substances were inhaled. Sometimes an extensive delay can be life threatening. As with many medical problems, prevention and caution are much better than treatment.

2/7/97