What is the appropriate initial management of a second-degree burn?

The appropriate initial management of a second-degree burn involves irrigating the burn with normal saline and applying Silvadene cream. Second-degree burns, which affect both the epidermis and part of the dermis, can present with blisters, swelling, and are usually painful. The goal in the initial management is to clean the wound effectively to prevent infection and enhance healing.

Irrigating with normal saline is preferred as it is isotonic and gentle on the tissue, helping to remove debris and pathogens without causing additional damage. In terms of topical treatment, applying Silvadene cream is beneficial because it possesses antibacterial properties and can help prevent infection while keeping the wound moist, which is essential in the healing process of burns.

Other methods, such as using hydrogen peroxide, can be harmful to the tissue and may delay healing due to its cytotoxic effects. Tap water can be effective for irrigation, but normal saline is generally favored in clinical settings for its isotonic nature. Unroofing blisters can increase the risk of infection and is not recommended as intact blisters can serve as a protective barrier for the underlying tissue. Using products like Neosporin ointment may not provide the same level of burn care as Silvadene, which is specifically formulated for