Cooking oil burn - pics of injuries 10-12 percent partial/full thickness burns.

xylaria

Bushcrafter (boy, I've got a lot to say!)
ouch. Easy done though.

My son when he was about three ran into me when I was in the kitchen. He got boiling water down his neck and onto his chest. Next to me was a cold glass of lager, I threw that on him, then threw him in bath and showered him with cold water until his lips went blue. He only got one small blister. I was in school with girl that pulled the kettle cord on herself. Her neck and chest were horribly scarred. I know the doctor the I saw afterwards said throwing anything cold and watery is better than nothing, antibotics are easier to perscribe than plastic surgery.
 

Oakleaf

Full Member
Jun 6, 2004
331
1
Moray
As so many others have said - thank you for posting. The pictures generate a real wince - but are all the more valuable for that because they give a genuine pause for thought.

Unfortunately I can well imagine what you are going through - so all the more respect for taking time to post.

First Aid aspects are better covered elsewhere, but I would trust good suppliers - such as St John's, SP Services, Burnttree etc and look at burn treatments they carry. There are products like Water Jel etc - cooling is essential and water does a great job - but often isnt to hand in sufficient quantity outdoors. Again as per others - essential to remember that the heat damage process continues - vital to cool and remove that energy.

There was a post on here ages back - a guy chopped into his hand? What I thought was really useful about his story was his very brave and honest relaying of how he felt - effectively going into shock etc. There are physiological and psychological aspects to it and they are often over looked. Real food for thought if solo camping etc. Serious burns over 1cm squared have shock issues attached and worth remembering that fluid intake can be important. Very unlikely anyone has an IV to hand, and the last thing you feel like is sipping fluids - but keep it in mind.

Genuinely without prying - only respond if you wish - how did it happen?

Regardless thank you for posting, very best wishes for your recovery - it will not be fast, but keep in mind it will happen eventually.
 

georann

Full Member
Feb 13, 2010
1,258
5
Warwickshire
www.slice-of-fire.co.uk
Wow that makes your hairs stand on end a bit! Glad to hear you're on the mend, and that it wasn't worse.
Interesting reading the discussion on burns treatment.
And for handling hot things I thoroughly recommend a good pair of thick welding gauntlets with a long wrist cuff that goes halfway up your forearm for that bit extra protection.
Thanks for sharing, always good to have a reminder.
 

mrcharly

Bushcrafter (boy, I've got a lot to say!)
Jan 25, 2011
3,257
45
North Yorkshire, UK
Looks very nasty - prepare to feel exhausted, healing from substantial injuries really takes it out of you.

I scalded myself when I was 16. Backs of thighs, buttocks (tipped kettle of boiling water onto a vinyl seat). When I leapt up, the skin peeled off my legs like steamed wallpaper. Just crinkled then peeled off under its own weight, followed by almost instant immense blisters. 'twas in hospital for a good long while.
 

TurboGirl

Bushcrafter (boy, I've got a lot to say!)
Sep 8, 2011
2,326
1
Leicestershire
www.king4wd.co.uk
...
And for handling hot things I thoroughly recommend a good pair of thick welding gauntlets with a long wrist cuff that goes halfway up your forearm for that bit extra protection.
....
I got a couple of great pairs from a Cromwell Tools stall at a steam fair a couple of years ago... 50p a pair on special, best investment I ever made although they're stiff on :) They don't seem to stock the ones I bought any more but heres their page of welders gauntlets.

Your scalds sound horrendous, MrCharly....How are you getting on healing, Leigh?
 
Feb 27, 2008
423
1
Cambridge
I think your right about feeling exhausted. I have been feeling it constantly. I went for 1 hour walk today. Felt exhausted doing walk and got home and cream crackered. I haven't been able to do much at all. Its strange though as when I speak to Dr's at burns unit they are not too forthcoming with information. Its like they are scared of getting sued or something? They want to check the healing and not tell me much at all. I know I escaped a skin graft. Would have like to know more about side effects etc as been feeling sick, getting hot sweats and dizzy. I tell them and don't a response. Anyway, I will have a chat tomorrow with them and see if I can get any more.

Looks very nasty - prepare to feel exhausted, healing from substantial injuries really takes it out of you.

I scalded myself when I was 16. Backs of thighs, buttocks (tipped kettle of boiling water onto a vinyl seat). When I leapt up, the skin peeled off my legs like steamed wallpaper. Just crinkled then peeled off under its own weight, followed by almost instant immense blisters. 'twas in hospital for a good long while.
 

mrcharly

Bushcrafter (boy, I've got a lot to say!)
Jan 25, 2011
3,257
45
North Yorkshire, UK
I think your right about feeling exhausted. I have been feeling it constantly. I went for 1 hour walk today. Felt exhausted doing walk and got home and cream crackered. I haven't been able to do much at all. Its strange though as when I speak to Dr's at burns unit they are not too forthcoming with information. Its like they are scared of getting sued or something? They want to check the healing and not tell me much at all. I know I escaped a skin graft. Would have like to know more about side effects etc as been feeling sick, getting hot sweats and dizzy. I tell them and don't a response. Anyway, I will have a chat tomorrow with them and see if I can get any more.
Hopefully they told you to drink lots of liquids, keep burns out from the sun, get rest and sleep.
The sweats and dizziness could just be shock. I'm not a doctor, so take care and if things get worse hassle the doctor.
 

DocDC

Member
A very painful experience I am sure. Burns are simply one of those injuries that seem to induce pain out of all proportion to their size so I can imagine that these were very painful. In terms of treating burns there is a lot of rubbish advice out there and it is about time some of the myths are dispelled. Burns are unique injuries and in the outdoors they can be particularly difficult to deal with especially if they are extensive burns. They are broken down into varying degrees of tissue damage ranging from superficial sunburn to deep full thickness involving muscle and sometimes bone. The deeper burns are often described as being painless because the nerves are destroyed by the causative mechanism, however in over 30 years as a medic I have not once encountered any burn that was completely pain free. This is because every burn tends to have zones of varying degrees of depth penetration surrounding it, and it is usually, but not always the centre of the burn that tends to be painless. In terms of treatment specifically, the burn requires cooling, this is mainly to take the heat out of the tissues, but has the effect of also reducing pain, at least for as long as the cooling is taking place. Pain is caused by air movement over the exposed pain nerve receptors and so once cooled in order to reduce the pain you need to find a material which will prevent this air movement. Food wrap is pretty good but is a pain to work with however it is the recommended first line treatment following cooling.

To cool a burn requires copious amounts of water applied almost continuously for about 20 minutes. Depending on the extent of the burn this could just be from using water from a spring or stream, do not worry too much about the infection as this can be dealt with in hospital later. Of course use the cleanest water available. You could also use urine, sounds disgusting but as long as you are well hydrated, urine is sterile. Its also warm and this is an important consideration if the burn is extensive as it is easy to tip someone over the edge and into hypothermia. The most recent advice is to used cool water not ice cold, especially with extensive burns. This is the reason I always carry a Watergel burn blanket on an extensive wilderness trip. Watergel has the amazing ability to cool down a burn over a prolonged period of time without causing hypothermia and, the anecdotal evidence suggests an improved cosmetic outcome. They are ideal for use where water is likely to be limited and they can be used immediately. I highly recommend them. They can also be cut down to use on areas which are traditionally awkward to treat such as the face. A knife or scissors will quickly cut slits for the eyes, nose and mouth to make a face mask if needed. Carry a heavy duty ziplock bag so that you can replace the unused parts of the Watergel once you have finished the initial application.
Once this has been on for a while and the heat is gone from the wound then layer your food wrap over the burned area. I would also use a light dressing to hold it in place. For hand burns place the hand inside a plastic bag sealed at the wrist or first available clear area and encourage the victim to move their fingers to maintain mobility. This is because cooked flesh acts very much like any meat does when heat is applied and will shrink. This movement helps to prevent the tissues from healing in a cramped position.
On any area of burn on a limb there is likely to be some swelling so it is vital that any constricting bands such as rings, watches or bracelets are removed. Leave blisters intact as these act as a protective covering. Do not rip off clothing if it is stuck, remember also that extensive burns often have accompanying hypothermia because the bodies ability to cool and to retain heat is destroyed over the burned area.

Do not apply creams..... I will say this again... do not apply creams. Cream achieve nothing in the first instance and may prolong the burn by acting as heat retaining barrier, particularly if the heat has not gone from the burn. Even creams sold as burns dressing such as Flamazine are not good for field use and should be reserved for hospital or perhaps home use. They are designed as wound healing creams for use much later in the treatment continuum, and they are impractical for all but the smallest of burns because you need to layer these products on to a depth of at least 0.5cm, so you can see that a small tube of 30g of Flamazine will not go very far.

In a true wilderness then one could apply the Baux Score to predict mortality. This is based on the percentage of body surface area burned plus the age. If this is over 140, then the victim will not survive. If there is an inhalation injury also then you add 17 years to the age (or 17% burned area). You can use this method how you will and I offer no advice about how to proceed in a true wilderness emergency, this is for you to decide.

In summary:

1. Safety of yourself and remove victim from harm - BE CAREFUL not to become a victim yourself.
2. Put out the fire.
3. Manage ABC life threatening conditions.
4. Treat the burn by cooling for 20 minutes with water or Watergel dressings. Remove constricting bands. Once the heat has dissipated apply food wrap in layers and fix in place with a loose bandage.
5. If the burn is extensive and more than superficial, wrap the victim in an appropriate manner to prevent hypothermia.
6. Arrange evacuation in the most appropriate manner if the burn is greater than 10% total body surface area burned, there is burns to the hands, feet, genitalia, eyes, or inhalation (although this would be quite rare in the wilderness setting unless in an enclosed cabin).

Hope that you find something of use within this. For more info contact me here or on https://www.facebook.com/survival.edge1

Dave C
 

Macaroon

A bemused & bewildered
Jan 5, 2013
7,241
385
74
SE Wales
DocDC ;

That's an extremely useful post, I think that should be considered about as definitive as medical advice can be on a forum like this.................Thankyou very much for the great info :)
 

shack

Nomad
Mar 30, 2007
304
1
52
Devon
A timely kick up for the rear for all of us who think it will never happen to them, need to add a few bits to my fire gear. All the very best for a full recovery and thanks for sharing.
 

sausage100uk

Settler
May 4, 2013
538
0
United Kingdom
The most important thing is cool it for twice as long as you think is necessary, then cool it some more. Even if you dont have clean water, if its a serious burn youll be on antibiotics anyway so the dirtiest water will be your friend if it reduces the amount of tissue damage you end up with.

Sent from my LG-D802 using Tapatalk
 

Hammock_man

Full Member
May 15, 2008
1,486
567
kent
Many folk have said thanks for sharing, one more wont make a difference but it really has brought it home. This should be a sticky!!! I truly hope you are mending well.
 

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