burn care? hot grill dropped on foot!

symmetry · 11-04-2006, 07:08 PM

my husband, t6 para, dropped a hot barbecue grill on his bare foot two days ago. there is a blister on one toe, and two lines from the grill....
we've been putting ice on it - any other suggestions? I don't want this blister to turn into a sore!

thanks

SCI-Nurse · 11-04-2006, 09:10 PM

Burns are not a treat it yourself injury. Ice should not be used at this point. Don't pop blisters but keep them covered with a sterile dressing. If you can get some Silvadene cream, put it on the open areas. Cover with a non-adherant dressing (vasaline gauze, Xeroflow, or Telfa). Change twice daily.

No socks or shoes, no pressure, and keep the sheets off this area. Depending on how deep the burns are, there may be significant tissue sloughing over the next week. Skin grafts are often needed to close a 3rd degree burn. If you see pus in the drainage or there is redness around the burns that increases in area, or if he develops fever, you need to get him to a hospital.

Next time be sure he is wearing shoes (leather preferably) when barbecuing.

(KLD)

lynnifer · 11-05-2006, 12:44 AM

Hope he heals quickly! I've burned myself several times over the years ....

Broknwing · 11-05-2006, 05:41 AM

Quote:

Originally Posted by SCI-Nurse

Burns are not a treat it yourself injury. Ice should not be used at this point. Don't pop blisters but keep them covered with a sterile dressing. If you can get some Silvadene cream, put it on the open areas. Cover with a non-adherant dressing (vasaline gauze, Xeroflow, or Telfa). Change twice daily.

(KLD)

I burned my foot real bad in my van a couple summers ago & got blisters and Silvadine worked GREAT!!! I Highly recommend trying to get some...You'll probably need to go to a dr/medical facility(whatever you have there) Keep it clean and the pressure off of it like KLD recommended. ALSO, keep in mind that he'll be having "refferred pain" and possibly spasms elsewhere in his body due to this burn. He may want to take some pain meds(ibuprofen or tylenol may be enough) to help with this. and if he takes anything for spasms he may need to take an extra dose to alleviate them as well....Keep an eye on his pain and spasm levels so that he can adjust his meds as necesary.

SCI-Nurse · 11-05-2006, 01:12 PM

Thanks for adding that. I should also have mentioned that I have seen some really bad AD from burns for those who are subject to this.

(KLD)

Le Type Français · 11-05-2006, 03:14 PM

Heal quickly, man!

chick · 11-05-2006, 04:05 PM

Silvadene is often used, but mainly where there are open wounds. Being notorious for burns, I tend to have this around. Most of the doctors (Physiatrist to Dermatologists) I've seen seem to prefer using OTC antibacterial ointments (eg. Neosporin, Bacitrycin) for healing burns and silvadene for mainly acute/open stage wounds, since silvadene can inhibit healthy cell growth (tho the significance, is debated). Similarly, cleansing open wounds should be done simply with mild soap and water or saline, and not aggressively with any alcohol based products (eg. betadine).

I am prone to AD and can get pretty bad/freq AD with the slightest discomfort, but with burns, my experience is that after the initial contact and body reacts to the pain of the burn (I have no sensation), it doesn't continue to aggravate spasm or trigger out of the ordinary AD. AD and spasms can be good in that it is your body telling you something is wrong, but no need to get too worried about it unless you notice significant changes and are not able to manage it and especially if you become feverish. On the other hand, having little or no AD/spasms do not necessarily indicate there is nothing going on, so one should be careful to be diligent and check skin often to check for PHYSICAL changes in an area (esp. where wounds are observed).

Your blisters do not sound too bad. Just do not pop them. Below is pic of one of my less major burns. This has since healed. Some burns may require debridement to remove dead skin. The burn below was not healing and the yellow/greenish layers not sloughing off well, so had to use some debriding ointment (ethezyme).

Andy · 11-05-2006, 05:31 PM

Not much to add other than change the dressing daily, but brings back memories of that cup of coffee I carried in between my legs across the house. Still got scars from that, didnt think that would happen.

lynnifer · 11-05-2006, 05:58 PM

OMG Chick - thank God that healed!

Hunker · 11-05-2006, 06:28 PM

Quote:

Originally Posted by symmetry

my husband, t6 para, dropped a hot barbecue grill on his bare foot two days ago. there is a blister on one toe, and two lines from the grill....
we've been putting ice on it - any other suggestions? I don't want this blister to turn into a sore!

thanks

Listen to KLD she helped me more than I could say "thank you KLD"

11-04-2006, 07:08 PM	#1
symmetry Senior Member Join Date: May 2006 Location: oregon Posts: 114	burn care? hot grill dropped on foot! my husband, t6 para, dropped a hot barbecue grill on his bare foot two days ago. there is a blister on one toe, and two lines from the grill.... we've been putting ice on it - any other suggestions? I don't want this blister to turn into a sore! thanks __________________ “Our lives begin to end the day we become silent about things that matter.” -- Dr. Martin Luther King, Jr.

11-05-2006, 12:44 AM	#3
lynnifer Senior Member Join Date: Aug 2002 Location: Windsor ON Canada Posts: 15,291	Hope he heals quickly! I've burned myself several times over the years .... __________________ I think over again my small adventures, My fears, Those small ones that seemed so big, For all the vital things I had to get and to reach; And yet there is only one great thing, The only thing, To live to see the great day that dawns And the light that fills the world. Anonymous (Inuit, 19th century) T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

11-05-2006, 04:05 PM	#7
chick Senior Member Join Date: Jul 2003 Posts: 6,679	Silvadene is often used, but mainly where there are open wounds. Being notorious for burns, I tend to have this around. Most of the doctors (Physiatrist to Dermatologists) I've seen seem to prefer using OTC antibacterial ointments (eg. Neosporin, Bacitrycin) for healing burns and silvadene for mainly acute/open stage wounds, since silvadene can inhibit healthy cell growth (tho the significance, is debated). Similarly, cleansing open wounds should be done simply with mild soap and water or saline, and not aggressively with any alcohol based products (eg. betadine). I am prone to AD and can get pretty bad/freq AD with the slightest discomfort, but with burns, my experience is that after the initial contact and body reacts to the pain of the burn (I have no sensation), it doesn't continue to aggravate spasm or trigger out of the ordinary AD. AD and spasms can be good in that it is your body telling you something is wrong, but no need to get too worried about it unless you notice significant changes and are not able to manage it and especially if you become feverish. On the other hand, having little or no AD/spasms do not necessarily indicate there is nothing going on, so one should be careful to be diligent and check skin often to check for PHYSICAL changes in an area (esp. where wounds are observed). Your blisters do not sound too bad. Just do not pop them. Below is pic of one of my less major burns. This has since healed. Some burns may require debridement to remove dead skin. The burn below was not healing and the yellow/greenish layers not sloughing off well, so had to use some debriding ointment (ethezyme). Attached Images Last edited by chick; 11-05-2006 at 04:13 PM.

11-05-2006, 05:58 PM	#9
lynnifer Senior Member Join Date: Aug 2002 Location: Windsor ON Canada Posts: 15,291	OMG Chick - thank God that healed! __________________ I think over again my small adventures, My fears, Those small ones that seemed so big, For all the vital things I had to get and to reach; And yet there is only one great thing, The only thing, To live to see the great day that dawns And the light that fills the world. Anonymous (Inuit, 19th century) T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

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11-04-2006, 09:10 PM	#2
SCI-Nurse Moderator Join Date: Jul 2001 Location: USA Posts: 41,301	Burns are not a treat it yourself injury. Ice should not be used at this point. Don't pop blisters but keep them covered with a sterile dressing. If you can get some Silvadene cream, put it on the open areas. Cover with a non-adherant dressing (vasaline gauze, Xeroflow, or Telfa). Change twice daily. No socks or shoes, no pressure, and keep the sheets off this area. Depending on how deep the burns are, there may be significant tissue sloughing over the next week. Skin grafts are often needed to close a 3rd degree burn. If you see pus in the drainage or there is redness around the burns that increases in area, or if he develops fever, you need to get him to a hospital. Next time be sure he is wearing shoes (leather preferably) when barbecuing. (KLD)

11-05-2006, 01:12 PM	#5
SCI-Nurse Moderator Join Date: Jul 2001 Location: USA Posts: 41,301	Thanks for adding that. I should also have mentioned that I have seen some really bad AD from burns for those who are subject to this. (KLD)

11-05-2006, 03:14 PM	#6
Le Type Français Senior Member Join Date: Dec 2005 Posts: 25,830	Heal quickly, man!

11-05-2006, 05:31 PM	#8
Andy Senior Member Join Date: Jun 2003 Location: Chicago IL Posts: 4,641	Not much to add other than change the dressing daily, but brings back memories of that cup of coffee I carried in between my legs across the house. Still got scars from that, didnt think that would happen.

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