ok reg thanks for joining us at the end well I'm sorry sorry you have to all my
goodness so that's it how did you do it well this is a steam burn lost a battle
with a steam kettle already got in the way and this is the result so it's these
little more severe than first-degree so yeah it is i come in and get it checked
out so I don't develop any infection and kept it sterile and covered when did it
happen yesterday morning is is hurting pretty bad
now the ground like maybe for the first hour then you know really irritated at a
little pitching around the periphery but ok cancel / course I haven't poked at it
but it's right so you can see that there is a blister that's formed or Ebola and
that's traditionally what would separate first degree from a second-degree burn
we like to keep them intact there's there's conflicting data about what to
do some people say that it's better to open it up and then put a dressing on
and let it heal other people say it's better to leave intact that actually
what's in there promotes healing when they analyze what's inside of that fluid
that's in that blister is actually some things that are good and some things are
bad and all of the data for cutting to open and they're putting a dressing on
our own very clean conditions in burn units where they take very special care
to do it so it's conflicting my preferences to leave them intact and
then to go ahead and use an antibiotic ointment now if we're in a burn unit or
if we had a lot of burns we have something called sylheti nor silver
sulfadiazine that can actually cause discoloration of skin but works great
for protecting verse but so does any any antibiotic . make sure it's not getting
head this little pink trim around it we don't want that turning beefy red we
don't want red is spreading around it we don't want to get swollen
we don't want to getting our painful we don't want you getting red streaks of
the armoire getting a fever with it it when the Buddha's more boom when the
bird is more fresh will actually encouraged and just run tap water over
for both you're getting off anything that's on it should either and for pain
relief doesn't hurt now I know
okay I get that a couple minutes after the tap water couple minutes standing
around so let's get some on what about the world biotic just in case they used
to do that and now the the jury is in we know that it's completely useless oral
antibiotics and the setting of intact what we call partial thickness burns you
know we call the second reusing the old language when there's first second and
third-degree burns is actually before three now we just called full thickness
or partial thickness so we call this a partial thickness burn and we're going
to get some kind of a
sterile spatula here
nice barrier over that irrigation circle wash and about a covering and then this
metal x which actually think this might even be available on Amazon I'm not sure
so this has the adhesive it holds it down
so actually don't want you lifting this up i wanna just simply looking at the
outside of it if it feels different
then let's look underneath but if this is stain on with the help of something
like this will just go and leave that on until after the weekend after the
weekend you can take a look at it and see how it's coming along the blister
should be healed up at that point we also want to make sure you're up to date
on your tetanus shot you know last time you had a tetanus shot
just relax are told
ok
did you feel it excellent ok reg thanks for coming in and showing us hear your
friend I'm sorry it happened I guess would be more careful with the Steve
exactly this we would estimate that it's about a one-percent body surface area 1%
being about the size of a person's palm of their hand little bit less doesn't
require any special treatment a Burn Center beyond what we've done here it's
just partial thickness and heal up just fine right
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until next time this is dr. Margolin and reg telling you to stay in good health
thanks red