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West Central PA News

Tuesday, March 25, 2025

Guidelines on when to seek emergency care for burn injuries

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Julianne Pee President | Penn Highlands Brookville

Julianne Pee President | Penn Highlands Brookville

Burns are a significant cause of accidental death in the United States, ranking fourth overall. They are particularly prevalent among young children, the elderly, and those living in rural areas. In 2021, the Centers for Disease Control and Prevention recorded 398,000 fire or burn-related injuries and 252,000 injuries from hot objects or substances.

Burns result from tissue damage due to heat, chemicals, electricity, radiation, or sun exposure. According to Shane R. Sergent, DO, an emergency medicine physician and Central Region Medical Director of Emergency Medicine at Penn Highlands Healthcare: “Burns can range in severity depending on their cause.” He notes that while minor sunburns and burns from touching hot surfaces can often be treated at home, burns caused by chemicals, electricity, and radiation should receive medical attention.

First- and second-degree burns are generally considered minor and may not require professional medical care. For these burns, it is recommended to remove tight items from the affected area before swelling occurs. Cooling the burn with cool water for about ten minutes is advised. For facial burns, applying a cool cloth until pain subsides is suggested. Post-cooling care includes applying lotion or aloe vera to prevent drying and covering the burn with a clean bandage.

In contrast, third- and fourth-degree burns necessitate immediate medical intervention. Symptoms indicating a need for emergency care include deep skin involvement across all layers; dry or leathery skin; charred skin; patches of white, brown or black; large burns over three inches; or burns affecting critical areas such as hands or face. Smoke inhalation and rapid swelling also warrant urgent medical attention.

Dr. Sergent emphasizes using common sense when assessing burn severity: “If the burn is larger than three inches covers the hands face or joints and does not cause any pain seek medical care.” Untreated burns can lead to infections scarring and loss of function.

Penn Highlands Healthcare offers round-the-clock emergency services throughout Pennsylvania with skilled staff ready to handle various emergencies year-round. In case of severe conditions requiring immediate attention calling 911 or visiting an emergency room is advised.

For more information visit www.phhealthcare.org/ED.

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