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How should serious burn injuries be initially managed?

Apply ice directly to the burn.

Cool the burn area and cover it with a clean cloth.

The initial management of serious burn injuries is crucial in reducing further damage and managing pain. Cooling the burn area is important because it helps to lower the temperature of the affected skin, minimizing tissue damage and pain. By applying cool (not cold) water to the burn for around 10-20 minutes, you can effectively halt the burning process and expedite the healing of the skin.

Covering it with a clean cloth further protects the burn area from exposure to contaminants, which can reduce the risk of infection. A sterile, non-adhesive dressing is generally preferred, and doing this helps to provide a barrier while also allowing the area to breathe as it heals.

Using ice directly on the burn can cause additional frostbite and damage the skin. Similarly, applying substances like butter or oil can trap heat in the tissue, leading to worsening of the injury. Leaving the burn exposed fails to provide necessary protection and can increase the risk of infection and further exposure to harmful elements. Therefore, cooling the burn and covering it appropriately is the most effective initial management strategy.

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Apply butter or oil to the burn.

Leave the burn exposed to air.

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