Why do people use "steel wool" to rub burn wounds? The latest situation of the "burned mother" who moved the whole network →

Recently, Zhuji, Zhejiang

Huang's mother was injured in a gas explosion

65% burns on the body

Still endure the severe pain and hold the child away

Many netizens were moved

More than a week has passed

How is Mrs. Huang’s condition?

On October 24, the reporter from Zhejiang University Second Hospital

Department of Burns and Wound Repair

Huang's mother is currently conscious.

Able to have simple conversations with doctors

Ward rounds on October 24. Photo courtesy of Zhejiang University Second Hospital

During the wound repair period, there are greater risks

The overall condition is stable

"The condition has further stabilized.

However, it is still in the wound repair and infection stage.

The risks we face are still relatively high.”

Head of Burn and Wound Repair Department

Wang XingangChief Physician

Cheer up Huang when changing her dressing

She nodded heavily.

Strong desire to survive

It is worth noting that

The psychological rehabilitation team has been involved since she was admitted to the hospital

Provide her with psychological counseling throughout the process

For this type of severe burns

The greatest risk to patients comes from infection

Including wound infection, bloodstream infection,

Respiratory tract infection, urinary tract infection, etc.

After the first major surgery on October 19

Infection control is relatively good

The next overall strategy is still to prevent wound infection

Careful care and regular dressing changes

As for facial injuries

The medical team took measures to cover the wound

Hopefully it can speed up wound healing within 1-2 weeks

Reduce the chance of scarring

The doctor feeds water to the patient. Photo provided by Zhejiang University Second Hospital

Why do we use steel wool to rub the wound during treatment?

Doctors respond to treatment

recently

Various videos went viral on the Internet

There have also been various misinterpretations.

Chief Physician Wang Xingang also gave a targeted professional explanation

Related topics also topped the trending searches in Hangzhou.

The patient's wound skin should be rubbed off with a steel wool.

Is the treatment plan inhumane?

Wang Xingang : The so-called "metal wire balls" and grinders are a method of treating wounds. The medical term is "abrasion". There is a consensus among experts nationwide on its application in burn wounds. The advantages of abrasion are fast surgery and less bleeding. It can remove necrotic tissue more accurately, retain as much viable tissue as possible, and promote the self-healing of shallow wounds. In the future, the area of ​​skin grafting can be reduced. In addition, the entire operation is performed under anesthesia. The online rumor that this is "inhuman torture" is a huge misunderstanding.

During the escape, he took the child away.

Will this action aggravate my injury?

Wang Xingang : This statement is not medically valid. Skin burns after the explosion are mainly caused by thermodynamic factors, not by the action or friction of holding a child. During the treatment, the doctor did not find any complex injuries on her limbs.

Pale skin color

The more severe the burn

From the video, it can be seen that the skin of Ms. Huang's legs is pale, without redness, swelling or bleeding. Why is it so serious? The biggest difference between deep burns and shallow scalds is the base color of the wound. Boiling water burns are often pink, generally belonging to shallow second-degree burns, but for deep burns, the base of the wound is often pale. The whiter the color, the deeper the burn.

Why can a gas explosion in a split second cause such severe burns? Wang Xingang said that it is because the temperature generated by the gas explosion is very high. According to research, at a temperature of 179°C, it only takes 0.9 seconds for the entire layer of human skin to be burned. If the temperature reaches hundreds of degrees, it may take 0.5 seconds or even less than 0.5 seconds to cause very serious skin damage.

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Golden first aid time for burns and scalds

These 4 actions are necessary

What should I do if I get burned/scalded?

Department of Burns and Wound Repair, Zhejiang University Second Hospital

You Chuangang, deputy chief physician

Let's talk about it in detail

“Several things you need to do right after a burn”

Within 2 hours after burn

It's golden emergency time

Do the following four actions

01

Cold water flush

3 key points——

Rinse with cold water (tap water is clean and cheap)

Don't use too much water (it will hurt more if your skin is broken)

More than 20 minutes

02

Take off your clothes

Remove clothing from wounds

If it sticks

Please cut with scissors

(Don't pull it, the leather will break~)

Watches, rings, bracelets, etc. on the injured part

Also remove

(It will be hard to take off if it gets swollen~)

03

Cool water bubbles

After completing the first two steps, don’t relax.

Continue to soak in cold water to cool down

Soak until the pain is no longer noticeable.

Usually 0.5-1 hour or longer

If soaking is inconvenient

Apply a towel or gauze soaked in cold water to the injured area

04

Cleansing cloth cover

Gauze, clean sheets, etc.

Try not to use linting fabrics

How severe are the burns?

It is recommended to go to the hospital

An area larger than the size of a palm

(own slap)

The pain is unbearable

There are large blisters

If any of the above occurs, it is recommended to go to the hospital for treatment after emergency treatment (that is, the previous 4 methods). If the burn area is large, some emergency treatment measures can be carried out on the road.

Dealing with burns

What medicines can I keep at home?

Less than 1% (the size of a palm)

Wounds without large blisters

Can be handled at home

Available medical drugs are

Silver sulfadiazine ointment: anti-infection

Bovine basic fibroblast growth factor:

Helps wound recovery

For undamaged epidermis

Other things you can always keep on hand include iodine, cotton swabs, gauze, etc.

After burns and scalds, rinse the wound with running water for half an hour, then disinfect the wound with iodine tincture, spray bovine basic fibroblast growth factor according to the condition of the wound, apply sulfadiazine silver ointment, and then simply bandage it with gauze.

It is recommended to seek medical attention promptly for any wound depth exceeding 1%!