* First-degree burns affect only the outer layer of the skin. They cause pain, redness, and swelling.
* Second-degree (partial thickness) burns affect both the outer and underlying layer of skin. They cause pain, redness, swelling, and blistering.
* Third-degree (full thickness) burns extend into deeper tissues. They cause white or blackened, charred skin that may be numb.
First Aid
FOR MINOR BURNS
1. If the skin is unbroken, run cool water over the area of the burn or soak it in a cool water bath (not ice water). Keep the area submerged for at least 5 minutes. A clean, cold, wet towel will also help reduce pain.
2. Calm and reassure the person.
3. After flushing or soaking, cover the burn with a dry, sterile bandage or clean dressing.
4. Protect the burn from pressure and friction.
5. Over-the-counter ibuprofen or acetaminophen can help relieve pain and swelling. DO NOT give children under 12 aspirin. Once the skin has cooled, moisturizing lotion also can help.
6. Minor burns will usually heal without further treatment. However, if a second-degree burn covers an area more than 2 to 3 inches in diameter, or if it is located on the hands, feet, face, groin, buttocks, or a major joint, treat the burn as a major burn.
7. Make sure the person is up-to-date on tetanus immunization.
Call 911 if:
* The burn is extensive (the size of your palm or larger).
* The burn is severe (third degree).
* You aren't sure how serious it is.
* The burn is caused by chemicals or electricity.
* The person shows signs of shock.
* The person inhaled smoke.
* Physical abuse is the known or suspected cause of the burn.
Call a doctor if your pain is still present after 48 hours.
Call immediately if signs of infection develop. These signs include increased pain, redness, swelling, drainage or pus from the burn, swollen lymph nodes, red streaks spreading from the burn, or fever.
Also call immediately if there are signs of dehydration: thirst, dry skin, dizziness, lightheadedness, or decreased urination. Children, elderly, and anyone with a weakened immune system (e.g., HIV) should be seen right away.