Effective Burn Treatment: The Power of Ice Salt Water for Relief - Surgery

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Regarding burns...


Regarding burn treatment, I am unsure if the information circulating online is accurate...
New methods for treating burns...
Please forward this to friends...
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If burns are not immediately cooled and pain is not managed, the future suffering is predictable.
When a burn occurs, the initial pain may not be intense because the body has 0.9% saline that continues to absorb the heat causing inflammation in the skin, leading to increasing burning pain.
By using salt to absorb the heat, the pain can be alleviated, as salt has heat-absorbing and osmotic properties.
This is the principle behind the tradition of sprinkling salt during fire rituals at folk festivals.
I told an elderly woman that for burns, one should immediately soak in ice salt water: once, she fell and her entire palm went into a pot of hot oil.
She submerged her hand in a pile of salt, and as a result, both her palm and the back of her hand healed well.
The blisters between her fingers occurred because she did not spread her fingers apart, and she happily thanked me afterward.

For treating unbroken skin burns (from hot water, hot soup, hot oil, motorcycle exhaust, steam burns), an example: three years ago, I was burned by lamb soup and underwent rinsing, soaking, medication, and injections for over half a month, leaving a large scar.
For burns, using ice salt water or salt for healing is effective.
Coincidentally, I was burned again by a large gas stove, affecting my entire palm with severe burning pain.
I used this method: first rinsing with water, then soaking in ice salt water, which alleviated the pain, but it hurt again once removed.
I then buried my hand in a large amount of salt for an extended period, about three hours, until it was pain-free.
As a result, my skin was red and sensitive to heat for four to five days, but I did not apply any medication and did not develop scars.

Comment: This method is quite effective! If faced with a large burn area, soak in ice salt water for about ten minutes, then apply a thick layer of salt and cover with a damp cloth! Occasionally add water! This can prevent excessive cooling and help reduce the risk of severe injury in areas that did not receive salt treatment.
For minor household burns: rinse with water, then apply a thick layer of salt, and cover with a damp tissue, occasionally adding water! As long as it remains pain-free after leaving the salt for about three hours, no medication is needed, and no scars will form (using a large amount of salt is fine for unbroken skin).
For treating broken skin burns (fire burns, gas explosions, motorcycle exhaust), an example: a three-year-old child fell into a fire pit while burning paper money, resulting in multiple abrasions on both feet.
First, rinse with water, then soak in a 3% saline solution, changing the saline as the water temperature rises, until it is pain-free after leaving the saline.
Then apply medication! After about four hours, the child only needed to be held for a few days and could walk independently.

Comment: If saline cannot be applied to certain areas, use tissue or clean cloth soaked in 3% saline to continue moistening and frequently change it, even during transport to the hospital.
The main goal is to use saline to draw out the heat (referred to in Taiwanese as "hǔng") from the wound, which will promote rapid healing and significantly reduce scarring.
(The saline should not be too concentrated to prevent excessive fluid loss, and it is essential to drink plenty of water to stay hydrated).

Mr. Lu, 30~39 year old female. Ask Date: 2005/03/02

Dr. Huang Junxiong reply Surgery


Mr.
Lu: Based on what I know, there is insufficient scientific evidence to support the use of salt or saline solutions for treating burns, and therefore, I do not encourage this practice.
I advise you not to attempt it recklessly.
Logically, rinsing a burn wound with low-temperature [sterile] saline that has similar osmotic properties may be feasible and harmless, but directly applying salt to the wound would be an unwise approach.
Haven't you heard the old saying, "Don't put salt on a wound"? Wishing you good health.

Reply Date: 2005/03/02

More Info


When it comes to treating burns, especially in the context of home remedies, there is a lot of misinformation circulating on the internet. One such remedy that has gained attention is the use of ice salt water for burn relief. While the anecdotal evidence presented in various stories may seem compelling, it is essential to approach such claims with caution and rely on established medical practices.

The primary goal in treating burns is to cool the affected area and alleviate pain. The immediate response to a burn should be to cool the burn site with running cool (not cold) water for at least 10 to 20 minutes. This helps to dissipate heat from the skin and can significantly reduce the severity of the burn. The idea that salt can absorb heat and provide relief is a misconception. Salt does not have the property to absorb heat in the way described; rather, it can irritate the skin and potentially worsen the injury, especially if applied directly to an open wound.

In the case of minor burns, such as those caused by hot liquids or surfaces, the recommended treatment involves cooling the area, covering it with a sterile dressing, and taking pain relief medication if necessary. For more severe burns, especially those that involve broken skin or larger areas, medical attention is crucial. The use of topical treatments like silver sulfadiazine (Silvadene) can be beneficial, but these should be applied under the guidance of a healthcare professional.

The stories shared about individuals using ice salt water or covering burns with salt may lead to temporary relief due to the cooling sensation, but they do not address the underlying damage to the skin. In fact, applying salt directly to a burn can cause significant pain and may lead to further complications, such as infection or delayed healing.
For burns that have already broken the skin, it is critical to avoid any home remedies that could introduce bacteria or irritants. Instead, the focus should be on keeping the wound clean, moist, and covered. If a burn is severe or shows signs of infection (increased redness, swelling, pus, or fever), it is imperative to seek medical care promptly.

In summary, while the use of ice salt water for burn treatment is a popular home remedy, it is not supported by medical evidence. The best practice for treating burns is to cool the area with running water, cover it with a sterile dressing, and seek medical advice for more severe injuries. Always prioritize professional medical guidance over unverified home remedies to ensure proper healing and minimize the risk of complications.

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