The outcome of a foot burn depends on the adequacy of the medical tactics throughout the period of the illness.
With burns of 1 degree it is enough to cool the place of injury and disinfect it (Iodinol, Panthenol). Recovery takes 3-5 days.
With burns of 2 degrees, the wound is treated using analgesics (promedol, etc.). Wounds heal within two weeks.
Patients with burns of 3 and 4 degrees in need of inpatient treatment. All victims who have deep extensive burns need infusion-transfusion therapy. To carry out anti-shock treatment and purification of the body, ringer Ringer, plasma, gemodez, etc. Are used. In case of burn shock, drugs are administered whose action is directed to anesthetizing and preventing oxygen deficiency. Antibiotics are administered. According to the indications, surgical measures can be performed.
Help with foot burns
When the foot is burned, the sequence of the first first aid is as follows:
- it is necessary to create conditions that terminate the access of the agent, which provoked a burn (extinguishing the flame, releasing the victim from the effect of current and the like);
- remove the shreds of clothes that are outside the burn wound;
- to clarify the circumstances under which the foot was burned
- for all burns, except for chemical (caused by lime or alkali), it is necessary to keep the affected limb under cool water (10-20 minutes), then make a dry sterile bandage;
- with foot burns with a large lesion area, fixation of the limb with a tire or improvised means is necessary;
- with burns occupying a large area, there may be a burn shock. In this situation it is recommended to give plenty of water to the victim (water, tea, fruit juice, etc.). A large amount of liquid will help to remove the intoxication that occurs when toxins appear in the bloodstream, resulting from the decomposition of the skin, muscles, fiber.
- relieve severe pain by applying analgesics (analgin, ibufen, nurofen, paracetamol, etc.);
- with deep and extensive burns of the legs, it is necessary to call an ambulance, if this is not possible, then deliver the victim to the nearest hospital by any transport.
Antibiotics for foot burns
With foot burns, to prevent the spread of infection through the bloodstream throughout the body, antibiotics are administered.
To prevent the emergence of complications caused by bacterial infection, patients are treated at the stage of burn shock, toxemia, septicotoxemia. At these stages, medications that exert both local and systemic effects are used.
Antibiotics are selected, taking into account the characteristics of the patient's body and the processes occurring in the affected area. The most commonly used drugs containing silver sulfadiazine, applications or dressings with r-iodovidone, 1% concentration, aqua-match, gels and ointments containing levomycetin. Selection of antibacterial therapy with systemic effects is strictly individual and in most cases recommended for patients with deep lesions and an area of 10% of the body surface. If the consequences of infection are easy, then injections are administered with antibiotic drugs intramuscularly, and in severe cases, intravenous infusions are used.
In case of involvement of bone tissue, doctors recommend using lincomycin. During the treatment of foot burns, putrefactive infection can be detected. To eliminate it, use metronidazole. Mycotic microflora can also be detected. To combat fungal infection, nystatin or fluconazole is prescribed.
The infectious process that appears in the wound can cause serious complications:
- systemic inflammatory reaction when foreign microorganisms (sepsis) enter the blood;
- suppurative inflammation of the joint;
- inflammation of the urinary tract.
In the fight against the spread of infection with foot burns, the main place is given to antibacterial treatment, suggesting a weekly microbiological observation. Severe course of the disease requires the use of combination therapy with antibiotics with simultaneous administration of 2 or 3 drugs.
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The intake of vitamin A, B, C, B vitamin supplements is recommended for foot burns.
Vitamin E promotes the healing of the skin without the formation of scars. In addition to internal use, it can be used for applications directly on the wound after cooling the burned surface. Oily region of vitamin E should be applied to the burn surface. Dosages: children - 100-300 units, adults: 200-800 units. This amount of vitamin is recommended to be used daily until the recovery stage.
Vitamin A must be taken to assimilate vit. E. Recommended doses are 25,000 to 5,000,000 units. Per day.
Vitamin C. For the removal of stress, reduce infection and to stimulate the restoration of the affected tissue, recommended intake of 100-1000 mg of vitamin C.
Vitamins of group B have a calming effect. The daily norm is 10-50 mg B, B2 and B6.
Physiotherapeutic methods are included in the complex of therapeutic measures for foot burns. Physiotherapeutic effect enables:
- inhibit the vital activity of microorganisms;
- accelerate the recovery of epithelial tissues;
- increase blood flow at the site of exposure;
- to prevent post-burn scars;
- stimulate immunity.
UV-irradiation is used for burns of legs of I-II degree.
- Diadynamic currents. These activities are carried out for pain relief.
- Electrolight baths in a complex with aeroionization of negatively charged particles are recommended during an open mode of therapy.
- Paraffin-oil wraps contribute to the rapid regeneration of tissues. Take one part of cottonseed oil or fish oil and three parts of paraffin. The heated mixture is applied to the burn wound. Then cover with a gauze napkin and bandage. Leave for a few days. The procedure, thanks to the thermal and compression effects, promotes the rapid healing of the wound.
- UZT (ultrasound therapy). It is used to improve the body's resistance and resorption of post-burn scars.
- IR-irradiation stimulates blood circulation due to the appearance of a thermal effect. This therapy reduces inflammation and promotes tissue regeneration.
- Radon and hydrogen sulphide baths are used for resorption of scars and contractures.
- Massage. In the acute stage, the segmental-reflex type of massage is recommended, which has an analgesic effect, which removes puffiness, which reduces tissue acidosis. Massage of the burn wound is recommended during the scar formation. After oil-paraffin baths or applications, rubbing, stroking, stretching, sawing, hatching are used. The duration of the procedure is from 5 to 20 minutes. Periodicity - every day or every other day.
- Shower massage improves blood and lymph flow, increases immunity, has a tonic effect, reduces pain syndrome, which is necessary during the reconvalescence of burn injury.
Alternative agents are especially effective in thermal household burns. In order for such a burn to heal faster and leave no traces on the skin, timely and adequate help is needed.
With thermal burns of a mild degree, potato starch can be used. On the affected area, apply a thick layer of starch, cover with cotton and do not tightly bandage.
Effective, with burns of feet boiling water, sheets of fresh cabbage. They attach to the damaged area and pribintovat to the limb. The pain will gradually pass.
Alternative drugs help not only with a reduction in pain. They are also effective because they do not allow the development of edema and blisters. To prevent the appearance of blisters on the burned skin three times a day, apply a thick layer of toothpaste for 60 minutes. In addition to toothpaste, a tooth powder, diluted with water to a creamy state, is also suitable. If the burn of the foot was small, the result will become noticeable after the first application.
Effective when burning a foot with boiled water, grated raw potatoes. Kashitsu put on the affected area and fixed with a bandage. The change should be made when the mass is heated.
Propolis and St. John's wort have a positive effect with shallow foot burns. Propolis (20 g) is cooled to a solid state and chopped, pour 1 tbsp. 96% with medical alcohol. Insist 10 days, shaking daily. At the end of the process, strain. Pour 2 tbsp. Sunflower oil (unrefined) 4 tbsp. Spoons of flowers of St. John's wort. Leave the mixture in the sun for two weeks, without forgetting to mix the mixture. Tincture of propolis is combined with St. John's wort oil. The agent should be applied to sterile cotton cloth, fixed with a bandage. Change the dressing after 4 hours.
An effective remedy for the burnt feet is a onion with dandelion flowers. Middle onion finely crumble, add 20 pcs. Dandelion flowers. Blend the mixture with unrefined sunflower oil. Boil for 20 minutes. With a weak boil and strain. Store the product in the refrigerator. Apply to damaged places hourly.
Doctors-homeopaths with foot burns advise effective preparations based on herbal ingredients such as:
- Complex Arnica 30 (Arnica) and Aconite 30 (Aconit). The greatest effect is with first degree burns.
- Complex Arnica 30 (Arnica), Aconit 30 (Cantharis 30) promotes the rapid healing of second-degree burns and blisters that appear.
- Opium 1M (Opium 1M) is suggested to be used if the patient is in a state of shock and is not sensitive to pain.
- Sulphuricum acidum 30 (Sulfuricum acidum 30) is an excellent remedy for burns in household chemicals.
In severe deep burns of the legs, the following types of operations can be used as an element of therapy:
- amputation of limb;
- skin transplantation.
Necrotomy is the excision of the resulting scab in case of a deep lesion. Necrotomy is performed urgently to restore blood supply to tissues. Such intervention makes it possible to clean the wound qualitatively and minimize the risk of suppuration, which subsequently will help to speed recovery.
Necrectomy. This intervention is carried out in several stages with extensive and deep burn wounds. It is a gentle method, because the tissue that has lost vitality is carried out for several operations.
Limb amputation is an extreme method of treating severe foot burns. It is recommended if no positive therapeutic effect is achieved by other methods or necrosis with an irreversible change in tissues has begun.
The described types of interventions are the first stage of surgical treatment. After it go to the next stage - skin transplantation.
Skin transplantation is necessary to close wounds that have a large area. Most often, autoplasty is performed - transplanting the patient's own skin flap from other parts of the body.
Skin transplantation should be done to close a large wound. Most often, autoplasty is performed, i.e. The patient's own skin is transplanted from other parts of the body. In the modern world, the following methods of transplantation have become widespread:
- plastic by nearby tissues, which is suitable for deep burn wounds of small size. In this case, from the adjacent healthy areas take small areas of the skin and cover them with a wound surface;
- free skin plastic is performed with large wounds. Using special equipment, the patient is excised a skin flap from the healthy part of the body (abdomen, buttock) and closes the affected area.