Burn injury with blisters on the left thumb due to a car accident?
Hello, doctor! I had a car accident where my finger came into contact with the exhaust pipe.
I applied ice from a water bottle for about 20 minutes and then rinsed it with cold water in the emergency room for about 10 minutes.
Currently, my hand is not painful, but it occasionally itches.
Is the black skin on top due to the burn? How long does it usually take for a blister of about 2x1 cm to heal? I apply the ointment given by the hospital daily and keep the wound covered with a bandage.
Thank you, doctor!
L, 20~29 year old female. Ask Date: 2018/06/05
Dr. Wu Yuxin reply Dermatology
You should consult your attending physician about this issue, as they are the most familiar with your condition.
Reply Date: 2018/06/05
More Info
When managing burn blisters on your thumb after a car accident, it’s essential to follow a careful approach to ensure proper healing and minimize complications. Based on your description, it seems you have sustained a burn injury that has resulted in blisters, and you are currently experiencing some itching and discoloration of the skin. Here’s a comprehensive guide on how to manage your burn and what to expect during the healing process.
Immediate Care and Management
1. Cooling the Burn: It’s good to hear that you applied ice packs and ran cold water over the burn shortly after the injury. This is crucial in the first few minutes to help reduce the temperature of the skin and minimize damage. However, avoid applying ice directly to the skin, as it can cause frostbite. Instead, wrap ice in a cloth or use a cold pack.
2. Blister Care: Blisters are a natural response to burns and serve as a protective barrier for the underlying skin. It’s important to not pop or break the blisters, as this can lead to infection. If the blister is intact, keep it covered with a sterile bandage or gauze to protect it from friction and further injury.
3. Medication: You mentioned that you are applying a medicated ointment prescribed by the hospital. Continue to use this as directed. If the ointment contains antibiotics, it will help prevent infection. If you notice increased redness, swelling, or pus, these could be signs of infection, and you should seek medical attention immediately.
4. Hygiene: Keep the area clean. Gently wash the burn with mild soap and water, and pat it dry. Avoid using harsh chemicals or scrubbing the area, as this can irritate the skin further.
Healing Process
The healing time for burn blisters can vary depending on the severity of the burn. For second-degree burns, which involve the outer layer of skin and part of the underlying layer, healing typically takes 2 to 3 weeks. During this time, you may experience:
- Itching: This is a normal part of the healing process as the skin regenerates. Avoid scratching the area, as this can lead to further irritation or infection.
- Discoloration: The blackened skin you see is likely due to the burn. As the skin heals, it may change color, and this is normal. The skin will gradually return to its normal color, but some discoloration may persist for a while.
When to Seek Medical Attention
You should seek medical attention if you experience any of the following:
- Increased pain or discomfort
- Signs of infection (redness, swelling, warmth, pus)
- Fever or chills
- The blister bursts and the area becomes exposed
Long-term Care and Scarring
Regarding your concern about scarring, the likelihood of scarring depends on several factors, including the depth of the burn, how well you care for the wound, and your skin type. Generally, superficial burns heal without significant scarring, while deeper burns may leave marks. To minimize scarring:
- Keep the area moisturized with a suitable lotion or ointment once the blister has healed.
- Protect the area from sun exposure, as UV rays can darken scars.
- Consider consulting a dermatologist for scar management options if you notice significant scarring after healing.
Conclusion
In summary, managing burn blisters requires careful attention to wound care, hygiene, and monitoring for signs of infection. Continue following your healthcare provider's instructions, and be patient as your skin heals. If you have any concerns or if your symptoms change, don’t hesitate to reach out to your healthcare provider for further guidance.
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