The 1 -year -old boy was severely injured, and the culprit was the first!Doctor urgently reminds: high temperature days must be strictly guarded
Author:Contemporary health newspaper Time:2022.07.24
Children are scalded and can't look like
It's because of a pack of instant noodles
A few days ago, the Emergency Department of Zhejiang University had treated a doll less than 2 years old. The back of the waist was blisable. The epidermis on the belly and chest was severely damaged, and the whole person was crying.
Later, the child was diagnosed with deep II scald, and was trapped into the burns ward after debris. Due to the large area of burns and heavy degrees, scars may be left.
What exactly do you hot so much?
The head of the disaster is a pack of instant noodles.
That day, the family used the hot boiling water to make noodles. I did not expect that the lively and active babies came to the front of the table without paying attention. As soon as he reached out, he overturned the instant noodles. All fell on him.
The baby was crying suddenly. At this time, the family found that he was hot by the instant noodles.
The family was in a hurry, undressed undressing, took soy sauce with soy sauce, toothpaste with toothpaste, and wiped the baby's body. Get up and expose red meat.
The family was frightened, and then I remembered to the hospital quickly.
Several burns have been visited since July
Age from 1 to 9 years old
Director Wu Xiujing introduced that several children who have been scalded since July. In addition to being burned by instant noodles, there are liquid burns such as hot soup and boiling water. In addition, there are large blisters burned by metal facilities outdoors.
At the moment when the weather is hot and high, whether it is outdoors or outdoors, children are easier to burn than usual. One temperature is too high, and it is not easy to cool down water and hot soup, which will increase the chance and degree of burns. The second will be exposed to the sun. The temperature of the outdoor metal facilities is very high, and children climb or exercise more easily. In addition, less clothes are worn in summer. Once the hot fluid is splashed on the child, it is more likely to occur severe burns.
She said that the children who have recently been visited are concentrated from age to 9 years old. From the part of the scald, there are those who spread to the jaw, face to the neck and chest, some who spread to the abdomen to the waist, as well as burns in the lower limbs. As far as the degree of burns is concerned, there are I ° burns, and more are burn above II °.
Burning score:
• I ° burns: obvious pain, no edema and blisters, and red skin. Healed 3-7 days, pigmentation in the short term without leaving scars.
• II ° burns: blisters form, local moist, pain. Healing within 1-4 weeks (without infection), scars can be left.
• III ° Burns: No blisters in the wound, white or brown or carbonized, no pain, low local skin temperature. Furating repair is often required.
Evaluation and score of burns: Simple calculation based on the burning area: palm method, the patient's palm surface accounts for about 1%of the body surface area (note that I ° does not calculate the burns area).
Director Wu sighed:
Many children are not in place because of the on -site handling
Instead of injury
Why is the epidermis damaged so seriously by a child burned by instant noodles?
"It is very important to deal with on -site treatment after the child's burns. The family of the child who is burned by the instant noodles pulls off the clothes for the child. In this way, it is easy to increase the burns and the skin sticky together. Skin damage. In addition, items such as soy sauce and toothpaste have no effect on scalding, and it will also affect the doctor's judgment or wound infection. "
Wu Xiujing, director of the Emergency Department of Zhejiang University of Zhejiang University, said regrettable that how the child was hot after being scalded, and the skin damage may not be so serious.
Based on the recent cases of treatment, Director Wu and the team summarized the misunderstandings that parents were prone to occur after three burns:
1. Quickly remove clothes. Consequences: Bubbles formed after tearing to burn increase the risk of infection.
2. Apply a variety of objects such as sesame cream soy sauce toothpaste. Consequences: Not only increase the risk of infection, but it is not conducive to doctors evaluating delayed treatment.
3. Use ice to cool down the wound. Consequences: further wound damage.
Director Wu and the team also brought popular science to everyone. After being burned, what is the correct on -site disposal:
Under the premise of ensuring their own safety, help children out of the source of heat, and then continuously rinse the scald wounds for at least 30 minutes. Do not use ice cubes to cool down, and the temperature is too low may cause secondary damage.
While cooling with cold water, remove the clothes soaked by the child as soon as possible. If it is difficult to remove, it can be cut with scissors if necessary. If the clothing and the skin are sticking together, you must not be pulled forcibly to avoid aggravating damage to the skin, and you can treat it further after medical treatment.
After the aforementioned operation is completed, the wound can be covered with gauze or clean cloth to avoid pollution. If the child is rinsed, the wound surface is only I ° burns can be observed by themselves without special treatment. In severe cases, they should be sent to medical institutions with ability to treat.
remind:
Children's burns are critical than adult condition
Parents must pay attention to preparation
Why is it easier for children to burn, and once burns are more serious than adults? Director Wu explained that children's skin with a low contact temperature can also cause burns due to the skin than adults. If hot water at 60 ° C takes only 3 seconds, it can cause burns, but 49 ° C hot water can cause severe damage for 10 minutes. The development of children's cognition is later than the development of movement, so that they have the opportunity to contact danger, but they do not have the ability to predict and avoid danger. At the same time, the surface area of the child's body is small, which is relatively adult. Children's immune resistance is low and prone to infection; the skin exudates after burns, and is prone to dehydration. Therefore, children's burns are critical than adult condition. Director Wu said that the prevention of burns is more important than treatment. Children's burns often occur when parents are taken care of, for example, hot soup rice is sprinkled on the body. Reducing the occurrence of children's burns is largely dependent on parents' awareness of prevention. Make children from contacting the heat of ≥50 ° C to prevent the heat from being burned by the heat. After the United States controls the water temperature of the water heater at 50 ° C through education and legislation, it has significantly reduced the incidence, complications and mortality of children due to tap water burns. Avoid using tables and cloth fabrics to prevent burn in children to prevent shaking soup hot kettle. Avoid children entering when using the kitchen, pay attention to observe to avoid collision with children when using dishes. In addition, the bowl of hot water cups and hot soup should not be placed where children can touch, avoiding the child's burns after overturning.
Source: Hangzhou Daily
Edit: Wang Jing
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