What should I do if the skin is rubbed off on the second day after a burn?
Nov 25, 2025
Source: Cainiu Health
Dr. Liu Wenmin
Introduction
In general, on the second day after a burn injury, if the skin is abraded, the primary focus should be on keeping the wound clean and protected, and preventing infection. Key management measures include immediately cleaning and disinfecting the wound, properly protecting it to avoid irritation, strictly controlling the risk of infection, promoting wound healing, and preventing secondary injury. Since the skin barrier is already fragile after a burn, extra careful care is required during the recovery period.
Under normal circumstances, when the skin is abraded after a burn injury on the second day, the primary focus should be on keeping the wound clean and protected and preventing infection. Key management measures include immediate cleaning and disinfection of the wound, proper protection to avoid irritation, strict control of infection risk, promotion of wound healing, and prevention of secondary injury. The specific approach is as follows:
1. Immediate cleaning and disinfection of the wound: Gently rinse the wound with sterile normal saline to remove surface contaminants and exudate, preventing residual impurities from causing infection. After rinsing, gently pat the area dry with sterile gauze, then apply medical iodine solution in a circular motion from the inside outward, covering an area extending 5 cm around the wound.
2. Proper protection to avoid irritation: After disinfection, cover the wound lightly with sterile gauze and secure it with medical tape. The dressing should not be wrapped too tightly—maintain adequate breathability. Avoid using adhesive bandages or non-breathable dressings, which can create a moist, warm environment conducive to bacterial growth.
3. Strict infection control: Keep the wound and surrounding skin dry. Avoid getting the affected area wet during face washing or showering. If the wound accidentally gets wet, promptly re-clean and disinfect it. Monitor the wound closely; if increased redness, swelling, excessive discharge, pus, or an unpleasant odor develops, take timely steps to combat infection.
4. Promote wound healing: Increase dietary intake of protein- and vitamin-rich foods such as eggs, milk, fresh vegetables, and fruits to provide essential nutrients for skin regeneration. Avoid spicy and greasy foods that may irritate the wound and delay healing.
5. Prevent secondary injury: Minimize movement of the injured area—for example, avoid lifting heavy objects or tightly clenching fists if the hand is burned, or reduce walking if the leg is affected. Wear loose, soft clothing to prevent friction against the wound.
The skin barrier is already compromised after a burn, so extra careful care is needed during recovery. Stay attentive during daily activities, proactively avoid objects that might contact the wound, and minimize risks through attention to detail to support smooth wound healing.
