What are burns?
Burns are one of the most common household injuries, especially among children. The term “burn” means more than the burning sensation associated with this injury. Burns are characterized by severe skin damage that causes the affected skin cells to die.
Most people can recover from burns without serious health consequences, depending on the cause and degree of injury. More serious burns require immediate emergency medical care to prevent complications and death.
There are three primary types of burns: first-, second-, and third-degree. Each degree is based on the severity of damage to the skin, with first-degree being the most minor and third-degree being the most severe. Damage includes:
- first-degree burns: red, nonblistered skin
- second-degree burns: blisters and some thickening of the skin
- third-degree burns: widespread thickness with a white, leathery appearance
There are also fourth-degree burns. This type of burn includes all of the symptoms of a third-degree burn and also extends beyond the skin into tendons and bones.
Burns have a variety of causes, including:
- scalding from hot, boiling liquids
- chemical burns
- electrical burns
- fires, including flames from matches, candles, and lighters
- excessive sun exposure
The type of burn is not based on the cause of it. Scalding, for example, can cause all three burns, depending on how hot the liquid is and how long it stays in contact with the skin.
Chemical and electrical burns warrant immediate medical attention because they can affect the inside of the body, even if skin damage is minor.
First-degree burns cause minimal skin damage. They are also called “superficial burns” because they affect the outermost layer of skin. Signs of a first-degree burn include:
- minor inflammation, or swelling
- dry, peeling skin occurs as the burn heals
Since this burn affects the top layer of skin, the signs and symptoms disappear once the skin cells shed. First-degree burns usually heal within 7 to 10 days without scarring.
First-degree burns are usually treated with home care. Healing time may be quicker the sooner you treat the burn. Treatments for a first-degree burn include:
- soaking the wound in cool water for five minutes or longer
- taking acetaminophen or ibuprofen for pain relief
- applying lidocaine (an anesthetic) with aloe vera gel or cream to soothe the skin
- using an antibiotic ointment and loose gauze to protect the affected area
Make sure you don’t use ice, as this may make the damage worse. Never apply cotton balls to a burn because the small fibers can stick to the injury and increase the risk of infection. Also, avoid home remedies like butter and eggs as these are not proven to be effective.
Second-degree burns are more serious because the damage extends beyond the top layer of skin. This type burn causes the skin to blister and become extremely red and sore.
Some blisters pop open, giving the burn a wet or weeping appearance. Over time, thick, soft, scab-like tissue called fibrinous exudate may develop over the wound.
Due to the delicate nature of these wounds, keeping the area clean and bandaging it properly is required to prevent infection. This also helps the burn heal quicker.
Some second-degree burns take longer than three weeks to heal, but most heal within two to three weeks without scarring, but often with pigment changes to the skin.
The worse the blisters are, the longer the burn will take to heal. In some severe cases, skin grafting is required to fix the damage. Skin grafting takes healthy skin from another area of the body and moves it to the site of the burned skin.
As with first-degree burns, avoid cotton balls and questionable home remedies. Treatments for a mild second-degree burn generally include:
- running the skin under cool water for 15 minutes or longer
- taking over-the-counter pain medication (acetaminophen or ibuprofen)
- applying antibiotic cream to blisters
However, seek emergency medical treatment if the burn affects a widespread area, such as any of the following:
Excluding fourth-degree burns, third-degree burns are the most severe. They cause the most damage, extending through every layer of skin.
There is a misconception that third-degree burns are the most painful. However, with this type of burn the damage is so extensive that there may not be any pain because of nerve damage.
Depending on the cause, the symptoms third-degree burns can exhibit include:
- waxy and white color
- dark brown color
- raised and leathery texture
- blisters that do not develop
Without surgery, these wounds heal with severe scarring and contracture. There is no set timeline for complete spontaneous healing for third-degree burns.
How to use Stingless bee honey?
In minor burns, it is recommended to pour tap water immediately on burns, as this reduces the temperature. Afterwards, honey can be applied. Depending on the area, 15-30 ml of honey can be applied directly onto the burn wound or soaked in gauze before application. Occlusive or absorbent secondary dressings are applied to prevent honey from oozing out, and the frequency of dressing changes depends on how rapidly the honey is diluted by the exudate, which declines as treatment progresses.
Melipona Stingless bee Honey obtained from both unifloral and multifloral sources is useful. Unprocessed, undiluted honey has been used in clinical studies and the response has been good. The floral origin of Meliponini bee honey and its antibacterial potency appear to make no difference to the effectiveness of honey in the treatment of burns and wounds.
The free radical control by honey, due to its anti-oxidant effect, limits damage and subsequent multi-organ dysfunction. Honey's anti-bacterial action, low pH, high viscosity, hygroscopic effect, and its hydrogen peroxide content all play a combined role in honey's effectiveness in burns treatment. Honey provides a moist environment for optimum healing conditions.
Is it necessary to sterilize honey?
Honey can be sterilized by gamma irradiation without any loss of its anti-bacterial effect. Standard tests have proved honey to be sterile and so far no clinical study has shown any complication, such as allergy, after its use in wounds and burns - thus honey can be used unprocessed and undiluted.
In a systematic review of clinical trials of honey in burns and wounds, concluded that Stingless Bee honey was superior to other treatments and suggested there was biological plausibility for this.
With the increased number of reports on the use of Stingless Bee honey in burns and wounds, honey as an alternative treatment for such injuries is gaining increased acceptance from clinicians. However, discussion about the type of honey to be used is still ongoing, as also about the need to sterilize the honey before use. Further prospective randomized studies using various types of honey with varied properties may help to standardize the particular type of honey to be used. Present evidence supports the finding that honey, thanks to its various modes of action, is useful in superficial and partial-thickness burns.