What should I do if the epidermis is broken due to a burn?

Patient's question:

A few days ago, my left hand back was burned. Blisters formed. Then I immediately applied alcohol, soy sauce, and toothpaste. When I got home, I bought a burn ointment to apply. The next day, the blisters burst. Today, unexpectedly, the skin broke open, and others said it might deteriorate. I'm so scared. What should I do if the burn skin breaks open?

Doctor's answer:

Burns are one of the common adverse events encountered in daily life. Another type is a second-degree burn that results in blisters. Due to the large size of the blisters or the continued effect of external factors, the blisters may rupture, leading to skin breakdown on the wound. Once skin breakdown occurs, it is essential to protect the cleanliness of the wound. Local disinfection can be performed using povidone-iodine solution. Attention should be paid to removing necrotic or infected tissue. After that, the wound can be treated with erythromycin or Bactroban ointment. Then, sterile dressings should be applied to cover and protect the wound. At the same time, it is necessary to actively and regularly change the dressing to monitor the healing progress of the wound.

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