FOR MINOR BURNS

1. If the skin is unbroken, run cool water over the area of the burn or soak it in a cool water bath (not ice water). Keep the area submerged for at least 5 minutes. A clean, cold, wet towel will also help reduce pain.
2. Calm and reassure the person.
3. After flushing or soaking for several minutes, cover the burn with a sterile bandage (if available) or clean cloth.
4. Protect the burn from pressure and friction.
5. Over-the-counter pain medications, such as ibuprofen or acetaminophen, may be used to help relieve the pain. They may also help reduce inflammation and swelling. DO NOT give children under 12 aspirin.
6. Minor burns will usually heal without further treatment. However, if a second-degree burn covers an area more than 2 to 3 inches in diameter, or if it occurred on the hands, feet, face, groin, buttocks, or a major joint, then treat the burn as a major burn (see below).
7. Make sure the person is up-to-date on tetanus immunization.

FOR MAJOR BURNS

1. If someone is on fire, douse the person with water (if available), wrap the person in thick, non-synthetic material to smother the flames (use a wool or cotton coat, rug, or blanket), or lay the person flat and roll him or her on the ground. If your clothes catch fire, STOP, DROP, and ROLL.
2. Call your local emergency number (such as 911).
3. Make sure that the person is no longer in contact with smoldering materials. However, DO NOT remove burnt clothing that is stuck to the skin.
4. Make sure the person is breathing. If breathing has stopped, or if the person's airway is blocked, open the airway. If necessary, begin rescue breathing and CPR.
5. Cover the burn area with a cool, moist sterile bandage (if available) or clean cloth. DO NOT use a blanket or towel. A sheet will do if the burned area is large. DO NOT apply any ointments. Avoid breaking burn blisters.
6. If fingers or toes have been burned, separate them with dry, sterile, non-adhesive dressings.
7. Elevate the body part that is burned above the level of the heart. Protect the burnt area from pressure and friction.
8. Take steps to prevent shock. Lay the person flat, elevate the feet about 12 inches, and cover him or her with a coat or blanket. However, DO NOT place the person in this shock position if a head, neck, back, or leg injury is suspected or if it makes the person uncomfortable.
9. Continue to monitor the person's vital signs (pulse, rate of breathing, blood pressure) until medical help arrives.

• DO NOT apply ointment, butter, ice, medications, fluffy cotton dressing, adhesive bandages, cream, oil spray, or any household remedy to a burn. This can interfere with proper healing.
• DO NOT allow the burn to become contaminated. Avoid breathing or coughing on the burn.
• DO NOT disturb blistered or dead skin.
• DO NOT remove clothing that is stuck to the skin.
• DO NOT give the person anything by mouth, if there is a severe burn.
• DO NOT immerse a severe burn in cold water. This can cause shock.
• DO NOT place a pillow under the person's head if there is an airway burn and he or she is lying down. This can close the airway.

• The burn is extensive (for example, the size of your palm or larger), severe (third degree), or you aren't sure how serious it is.
• The burn is caused by chemicals or electricity.
• The person shows signs of shock.
• The burn is associated with smoke inhalation.
• Physical abuse is the known or suspected cause of the burn.

Call a doctor if your pain is still present after 48 hours. Call immediately if signs of infection develop. These signs include increased pain, redness, swelling, drainage or pus from the burn, swollen lymph nodes, red streaks spreading from the burn, or fever. Also call immediately if there are signs of dehydration including thirst, dry skin, dizziness, lightheadedness, or decreased urination. Children, elderly, and anyone with a weakened immune system (for example, HIV) should be seen right away.