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 scalded and blistered, and I immediately applied wine, soy sauce, and toothpaste. After coming home, I bought a burn ointment to apply. The next day, the blister burst, and someone said it might develop into an ulcer. 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 involves blisters after a second-degree burn. 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, the first step is to protect the cleanliness of the wound. Local disinfection can be performed using povidone-iodine solution, and it is important to remove necrotic or infected tissue. After that, the wound can be treated with erythromycin or Bacitracin ointment, followed by covering it with sterile dressings for protection. Additionally, active and regular dressing changes are necessary to monitor the healing progress of the wound.

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