Your Go-To Guide for Keeping Kids Safe and Calm in Burn Emergencies

First Aider cooling a burn wound with clean water from a bottle on the patient's hand and arm.As a parent, teacher, or caregiver, few things are scarier than seeing a child get burned. Whether it’s a curious toddler reaching for a hot mug or a bad grass burn while playing, burns can happen in seconds—but knowing how to respond can make all the difference. This guide breaks down burn first aid into simple, actionable steps, so you can act confidently while keeping panic at bay.


Understanding Burn Types: First, Second, and Third Degree

Burns are classified by their depth and severity, which determine how they should be treated. Here’s a quick overview:

Burn Degree Depth Symptoms Healing Time
First-Degree Epidermis (outer layer) Redness, mild pain, dryness (e.g., sunburn) 3–7 days
Second-Degree Epidermis + part of dermis Blisters, intense pain, swelling, wet appearance (e.g., scalding) 2–3 weeks
Third-Degree All skin layers + tissues Charred/white skin, leathery texture, minimal pain (e.g., fire/electrical) Months, requires surgery

Note: Fourth-degree burns (affecting muscles/bones) are rare but life-threatening. Always seek emergency care for third- or fourth-degree burns.


Step-by-Step Burn First Aid

For Minor Burns (First-Degree or Small Second-Degree)

  1. Cool the Burn: Immediately run cool (not cold) water over the affected area for 10–20 minutes to reduce heat and swelling. Avoid ice—it can damage tissues.
  2. Clean Gently: Use mild soap and water to prevent infection. Pat dry with a clean cloth.
  3. Soothe and Protect: Apply aloe vera or petroleum jelly. Cover with a sterile, non-stick bandage if blisters form.
  4. Pain Relief: Over-the-counter painkillers like ibuprofen can help manage discomfort.

Pro Tip: Never pop blisters! They act as a natural barrier against infection.

For Severe Burns (Large Second-Degree or Third-Degree)

  1. Call Emergency Services: Call your local emergency number immediately.
  2. Cool the Burn: Apply burn gel or run the wound under water for 15-30 minutes.
  3. Protect the Area: Cover loosely with a clean cloth or cling film. Avoid soaking in water, which can lead to hypothermia.
  4. Keep the Child Calm: Reassure them while waiting for help. Do not remove clothing stuck to the burn.

What NOT to Do (Common Myths Debunked!)

  • Avoid Butter, Oils, or Toothpaste: These trap heat and increase infection risk.
  • Skip Ice or Ice Water: Extreme cold can worsen tissue damage.
  • Don’t Ignore Electrical/Chemical Burns: Even if they look minor, these require urgent care (e.g., call the Poison centre for chemical burns).

When to Seek Medical Help

A burn is serious if:

  • It’s larger than the child’s palm.
  • It affects the face, hands, feet, or joints.
  • The skin looks charred, white, or leathery.
  • There’s difficulty breathing (possible inhalation injury).

Home Remedies for Minor Burns

While medical-grade treatments are best, these can provide relief for small burns:

  • Aloe Vera: Soothes inflammation and promotes healing.
  • Organic honey: Its antibacterial properties help prevent infection (apply a thin layer under a bandage).
  • Cool Compress: Use a clean, damp cloth for 5–10 minutes to reduce pain.

Burn Prevention Tips for Families

  1. Adjust Water Heaters: Set to 50°C (122°F) to prevent scalding.
  2. Childproof Cooking Areas: Turn pot handles inward and use stove guards.
  3. Install Smoke Alarms: Test them monthly and replace batteries yearly.
  4. Teach Fire Safety: Practice “stop, drop, and roll” with kids – make it a fun outdoor game!

FAQs: Quick Answers to Burn Questions

  1. “How long should you run a burn under water?”
    Aim for 10–20 minutes—longer for severe burns.
  2. “Can you put ice on a burn?”
    No! Ice causes frostbite. Stick to cool water.
  3. “What not to put on a burn?”
    Avoid butter, oils, or adhesive bandages—they trap heat.
  4. “How to tell if a burn is serious?”
    Look for size (larger than a palm), depth (blisters/white skin), or location (face/hands).

Stay Prepared, Stay Safe

Burns are scary, but with the right knowledge, you can minimise harm and speed up healing. Attend a first aid course and keep a first aid kit stocked with sterile gauze, Burnshield or aloe vera, and antibiotic ointment, and rehearse these steps regularly. Remember: When in doubt, seek professional help—it’s always better to err on the side of caution.

By staying informed and proactive, you’re not just treating burns—you’re building a safer world for the little ones in your care.

Stephan HeynekeAuthor posts

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OHS Consultant | HPCSA Registered Medic | SAIOHS Registered Graduate Member | Degree in Industrial Psychology | First Aid and Health and Safety Training