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Part 4: Keeping Your Child Healthy  >  The A-Z of Childhood Illnesses  >  Burns

BURNS

Prevention of burns should be of paramount importance (see chapter on PREVENTION OF ACCIDENTS). Minor burns may cause discomfort, but severe burns can endanger life or lead to crippling deformities. 

TREATMENT: Whatever the extent of the burn, first put cold water over the burn. Do not use ice. If cold water is not available, keep pouring tap or stored water over the area for some time. Remove all clothing from the burnt area. Cover the area with a clean piece of cloth. Do not apply any ointment, ghee or honey without the advice of your doctor. Do not puncture the blisters. Generally, doctors leave the small blisters alone. The large blisters are often punctured to avoid accidental rupture and consequent infection.

Let your doctor decide if the child needs hospitalisation. This may have to be considered in case of burns of the face, hands, genitals and feet; in all third-degree burns (see below); first and second-degree burns involving more than 25% of the body (see table); and burns due to chemicals or electric shock.

In first-degree burns, the patient only has redness with or without slight swelling of the skin. Second degree burns cause blisters and much swelling. Third degree burns damage even the deeper layers of the skin. The skin may appear white or charred.

The extent of the burns is calculated by the ‘Rule of Nine’.

‘RULE OF NINE’ 

Part of the body     

Percentage  Total (%)

Face 

9 (18 in infants)  9

Front and back

18 each  36

Upper limbs 

9 each  18

Lower limbs 

18 each 
(13.5 in infants)
36

Perineum 

1

Grand Total 

100


In case of extensive burns, do not give anything by mouth to the child until you have seen the doctor. Otherwise, plenty of liquids should be given. If the child has received his usual immunisations (including DPT or triple antigen) as per schedule, there is no need for a tetanus toxoid except for severe burns when your doctor may decide to give it. If a booster dose of DPT (Diphtheria, Pertusis and Tetanus) is due, it can be given. This includes tetanus toxoid.




7 March, 2016

 
Part 4
The A-Z of Childhood Illnesses

Abdominal Pain
Abrasions or Scratches
Acute Glomerulonephritis
Acute Nephritis
Acute Watery Diarrhoea
Addictions
Adenoids
AIDS
Allergies
Anaemia
Anorexia (Poor Appetite)
Asthma
ADHD
Autism
Backache
Bed-Wetting (Enuresis)
Birth Deformities
Bites and Stings
Bleeding
Bone, Joint and Muscle Injuries
Bowlegs and Knock-Knees
Breathlessness
Bronchiolitis
Burns
Calcium Deficiency
Cancer
Cardiac Pulmonary Resuscitation
Cerebral Palsy (CP)
Chickenpox
Choking
Circumcision
Cleft Lip and Palate
Common Cold
Congenital Heart Disease
Constipation
Convulsions or Fits or Seizures
Cough
Croup
Crying
Cuts
Dengue Fever
Diabetes Mellitus
Diarrhoea, Dysentery ...
Diphtheria
Down's Syndrome
Earache, Ear Infections ...
Electric Shock
Encephalitis
Eye Problems
Fears
Foot Problems
German Measles (Rubella)
Glands in the Neck ...
Headache
Head Injury
Hepatitis
Hydrocephalus
Hypertension
Hypospadias
Influenza (Flu)
Jaundice
Joint Disorders
Kala-Azar
Leptospirosis
Limp and Pain in the Legs
Malaria
Malnutrition (Undernutrition)
Measles
Meningitis
Meningomyelocele
Menstrual Problems
Mental Retardation (MR)
Mouth To Mouth Breathing
Mumps
Nephrotic Syndrome
Nose-Related Problems
Obesity
Pneumonia
Poisoning
Poliomyelitis
Premature Baby
Prolapse of the Rectum
Rabies
Rheumatic Fever
Rheumatoid Arthritis
Rickets
Short Child
Skin Conditions
Sleep and Sleep Problems
Sore Throat (Pharyngitis)
Splinters
Stammering
Stridor (Noisy Breathing)
Teething and Care of Teeth
Tetanus (Lock Jaw)
Thrush
Thumb-Sucking
Tics
Torticollis
Tracheoesophageal Fistula
Tropical Eosinophilia
Tuberculosis (TB)
Typhoid
Umbilical Problems
Undescended Testis
Urinary Infection
Vaginal Discharge
Vomiting
Wheezing
Whooping Cough (Pertusis)



Part 4
Keeping Your Child Healthy
Choosing A Paediatrician
Proper Use of Medicines
Home Remedies
A First Aid Kit
The A-Z of Childhood Illnesses
Psychological Concerns
Managing A Hospital Stay
Emergencies
Prayer And Your Child's Health
The Role of Nature Cure
Homoeopathy
Ayurveda and Child Care
Congenital Heart Disease FAQ
 
Guide to Child Care
Home
Introduction
1 Pregnancy, Childbirth ...
2 The Growing Years
3 Feeding Infants, ...
4 Keeping Your Child Healthy
5 Keeping Your Child Happy
About Dr. R. K. Anand
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