Well, it finally happened (kids and stoves and burns)

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RoseRedHoofbeats

Feeling the Heat
Oct 7, 2010
374
San Antonio, TX
So last night, I was scrubbing my floor. I have a 4' square hearth, and I keep the ash can and a cast iron dutch oven on one side, and the metal tinderbox and fireplace tools on the other. Because my stove is so narrow, there's a good 18" between it and the floor. My three year old daughter has always been very good about knowing the stove is hot and all and we've never even had a close call.

But- I was cleaning so all the stuff I normally have in the way? Was not in the way. Turned my back for a second and she had fallen and touched the side of the stove. All four pads of her fingers plus most of her thumb were burned. Fortunately, none on her palm.

I immediately swooped her up and sat her by the sink and ran cold water over it. I had my husband fill a bowl with about three cups of water, and six drops of lavender essential oil and three drops of clove oil. Lavender oil is cooling and helps with cellular growth and helps pull the heat out. Clove oil is a very effective numbing agent- it has the same active component as lidocaine. She definitely felt relief keeping her hand in the water and actually put enough weight on it that she popped the big blister on her thumb, apparently without it hurting very much. Keeping it soaked in water instead of just running water over it helps the skin over the blister supple so it doesn't cause as much pain.

I ended up taking her to the ER because I wasn't sure how best to dress her wound, and her blisters were growing larger by the minute despite the cold water. I soaked cheesecloth and gauze in the water-oil and wrapped her hand up nice and tight (she seemed to instinctually want to clutch her hand, so I soaked some cotton balls and put those on her palm so she'd have something soft to squeeze). They pretty much did what I would have done- popped the blisters, cut away the dead skin, and wrapped them individually in emulsion dressings and gauze with silver sulfadiazene and then more gauze all around her hand, and some of that self-adhering elastic wrap stuff. She was SUCH a trooper the whole time. She even thanked the nurses for making her hand feel better.

Today it doesn't seem to be bothering her- she'll crawl around and grab stuff and put her weight on it when she's getting in the car and stuff. We're going into the burn clinic tomorrow to have it re-dressed and then hopefully I can take care of the rest at home.

I make a burn salve that I keep around. It's equal parts pure aloe vera gel, raw unprocessed honey, and cold-pressed wheat germ oil. Aloe is of course wonderful for burns, and raw honey is a marvelous antimicrobial and the glucose helps give the skin cells energy to grow back. Wheat germ oil is the purest source of Vitamin E, which helps with blistering, scarring, or the skin adhering in places it should (especially important when a burn is over a joint). Calendula oil is very good for burns as well. I keep mine in the fridge and it will keep for about six months- it also feels HEAVENLY on sunburns. I slather it on pretty thick and then cover it with gauze. The honey will make it sticky, so I soak it in cold water when I change the dressing.

Opinions are rather split on the idea of popping blisters and removing dead skin. From the research I did, early removal of dead skin leads to faster skin growth, but is more painful. On hands and feet it's better to get it off as soon as you can and then bandage it very well. On the back of your hand or arm or such, it's usually okay to just leave it alone unless the blister is particularly painful.

Anyway, just thought I would share this since I know there are a lot of other members with little kids.

~Rose
 
Two things I wouldn't have done. You're not supposed to put any oil on burns (but the numbing effect, I understand). Second, never ever ever pop an intact blister. THat's the body's natural defense and barrier. Ever have a blister, you pop it, then it stings? Now you've got it exposed to baceteria when it preciously wasn't. If the blisters are burned through, then sure cut away the dead skin and silvadene em. If you leave the blister intact, it will heal from the inside out and by the time the fluid is naturally gone out of it and the blister wears off, you've got your first layer of epidermis grown back.

Just my two cents! :eek:) Physicians like to cut and rip; even working on burn units we never did that to intact burns, we let the body do its thing and keep the area comfortable.
I hope your little sweetheart is OK!
 
I should have clarified- lavender and clove oils are essential oils, not actual oil-based ointments. Lavender feels cool when it's rubbed on your skin, kind of like how VapoRub makes your skin feel cold, so it helped with the initial pain. You're quite correct that oil-based ointments should be avoided since they trap in heat. I used this when I stepped on a hot coal while BBQ'ing barefoot last summer and developed a very deep second degree burn (we're talking I had little black flaky bits coming off my foot) and it really helped. Wheat germ oil is only advantageous once the initial burn process is over with (ie, there's no more heat to trap) because its high Vitamin E helps to reduce scarring and subsequent adhesions, which is a concern when a burn crosses over a joint, if the scar tissue knits too much skin together over the bend.

I was always taught the same thing about blisters- that they prevent infection and allow the tissue underneath to heal better. I was pretty skeptical when they wanted to debride all of the blisters. Turns out that blisters helping prevent infection is still true, and most of the time they'll say to leave them on. But in some cases, the pain relief of not having a huge blister outways the benefits. The research I did showed improved healing times with early debridement of dead tissue with proper topical antibacterial treatments (silvadene, Hibiclens, etc). Hers just blew up- they were the size of jelly beans within 20 minutes, which is when I called it and said we were going to the hospital. (I generally avoid hospitals at all costs, but I wasn't quite sure how to best bandage the entire hand of a three year old!) The biggest one, on her thumb, popped on it's own while we were waiting in the ER and she didn't even notice. The rest of them needed the barest hint of pressure to pop and the skin very easily sloughed off, they didn't even have to cut. It was like the kind of peeling skin you get with a sunburn. I think because her skin is naturally thinner since she's young and doesn't have calluses, the dead skin wouldn't have acted very effectively as a barrier, not like the tougher skin of an adult. The emulsion dressings they used act very much like the blister, except they allow for some weepage so it's not as tender and painful.

http://www.austin-medical.com/biafine_wound_management_program.asp
http://www.ncbi.nlm.nih.gov/pubmed/8951545
http://www.burnsurgery.org/Modules/initial/part_two/sec5.htm
Also found this kinda nifty article about using kiwi fruit as a wound dressing! Apparently it has an enzyme that naturally debrides the wound and enhances skin regrowth. http://www.ncbi.nlm.nih.gov/pubmed/20381106

(Sorry, got my med geek on.)

She's doing pretty well. She wanted to take the dressing off for a little bit tonight and they look great- the pads are already a little less red, the smaller burn on her first knuckle on her palm and on her pinky are already pinked back up. She didn't put up much of a fight when I rebandaged it. And, thankfully, not afraid of the stove- she was bugging me to make a fire all day. =)

~Rose
 
So sorry that happened but glad she is doing better!!!!

I worried about that happening with my kids but they are a little older (my daughter was 6 when we started using the woodstove) and haven't had any accidents...yet. But they usually don't go near the woodstove...I don't think they inherited my fire-bug gene as they are not the least bit fascinated by the fire...:^)

Take care and best wishes for continued healing!!
 
Keep us updated! I hope she heals quickly. My wife is working with natural "oils' to aid in healing and pain relief. Good for you to be willing to try natural healing plants that God has provided. You are correct about the difference between man made oils (Crisco, veggie oil) and the natural juices that are found in plants.


f v
 
Rose - sounds like you got it handled. One word of advise - If you see ANYTHING that looks out of the ordinary, get the little one back to the doc.

I personally built a gate around the stove. Yes, I know that we can teach the little ones "hot" and all that jazz, but when you have a 2 and 3 year old feeding off of each other, its the accidents that I am concerned with. The unintentional stuff.

I have had more than my share of experience with burns. I will do ANYTHING to avoid that with someone else.
 
I have 2 kids and we have heated with wood since before they were born. Never had an issue and don't know how they figured out to stay away outside of us telling them it was hot. Usually they need to find out for themselves and maybe they did test it at one time. But falling into the stove is another thing altogether. Sorry for the burn but glad it was only fingers tips.
 
She was very lucky indeed. I was letting the fire die so I could clean out the ashes and scrub the hearth, so it wasn't nearly as hot as it could have been. And, she just lost her balance and put a hand out to steady herself. If I hadn't moved the thing I use to block that side of the stove (the fireplace grate, ash can, cast iron dutch oven) she would have touched those instead. She has always been very aware of hot things- the oven, candles, the gas stovetop, the bbq pit, so it wasn't through any fault of her own.

Her fingers look like they're healing nicely. The tricky part is getting the gauze between each finger. Princess band-aids make everything better, though.

If I had to pick one single thing that helped the most in the first few hours, was keeping it moist. She soaked her hand for a good two or three hours and she said it made it feel better.

Fireview- My mother and grandmother were both very knowledgeable about herbalism and folk remedies. If your wife ever wants to compare notes, have her drop me a line! I also have a really good joint pain salve and super-chapped-lip balm (which incidentally also works GREAT on tattoos.)

I think the real lesson here is don't try to clean your hearth when it has a fire going. =P

~Rose
 
RoseRedHoofbeats said:
Her fingers look like they're healing nicely.

That is good news. Kids are pretty darn resilient.
 
Sorry to hear about your little one's accident, it sounds like you have taken great care in handling it. Mine is nearly 18months and this is the first year he has been mobile while we use wood heat. We have a fire screen in place covering the whole insert and taught him "hot" using the space heaters and while cooking his breakfast, etc.

He is THOROUGHLY fascinated with the fire. Yesterday morning we cleaned the glass for the first time this season and he woke his mom up shouting "wow wow wow!" He has been burned (barely, no marking) once right after we got a fire going and he touched the (previously cold) glass. Immediate elephant tears - his second best friend, the fire, hurt his hand. (His first best friend is the cat, who won't let him touch for more than 2 seconds.) He was over it in less than a minute and it left no marks. I'm glad to hear your story as a reminder about the accident aspect and as a good approach to burn first aid.
 
Jags said:
Yes, I know that we can teach the little ones "hot" and all that jazz, but when you have a 2 and 3 year old feeding off of each other, its the accidents that I am concerned with. The unintentional stuff.

That's what I worry about. I've got 4 and each one individually is fine, but when you put em all in one room together for a while....well anyone with multiple small children knows what happens eventually. :)

Rose, hope your little one heals up soon.
 
I was always concerned about my cats playing and accidentally knocking one another in to my old stove... I think I would go insane thinking about what could happen with kids.
 
been there, done that , as in i had a similar burn accident as a 3 yr old. one of the reasons i advocate for the hearthgate product line (which we do not sell so its not a profit thing for me) its insurance against accidents.

one thing i picked up on was wrapping or dressing the burn, you really should not tightly wrap a burn, looser wraps that allow the wound to breathe while keeping it clean and dry are preferred not to mention releaving a little pressure from the already tender new forming skin is less painful.


it is my hope youre little one will heal quickly and painlessly as possible. good news is nothing bounces back quite like a kid. as long as all the parts are in the same room they mend very quickly.
 
I'm using very soft cotton pads and loose gauze wrap. Just got through our second dressing of the day which took over an hour because I'm afraid to hold her down in case in her flailing she hurts her hand. I am *not* looking forward to another week of this at least.

~Rose
 
Jags said:
I personally built a gate around the stove. Yes, I know that we can teach the little ones "hot" and all that jazz, but when you have a 2 and 3 year old feeding off of each other, its the accidents that I am concerned with. The unintentional stuff.

x2, from the start we installed a kidco gate. My son knows it's hot and a no touch but with the stove in our family room it's also the "play" room. Anything could happen and have him end up falling into the stove I figured it wasn't worth the worry and just gated it up. He helps me load the stove, close the bypass and turn the T-Stat down so he knows but I'm sure his 2 1/2 year old brain can forget rather quickly when he's playing.

Rose I look forward to reading "the little one is all healed up" in no time!
 
RoseRedHoofbeats said:
I'm using very soft cotton pads and loose gauze wrap. Just got through our second dressing of the day which took over an hour because I'm afraid to hold her down in case in her flailing she hurts her hand. I am *not* looking forward to another week of this at least.

~Rose


okies, just checking. BTW a mild analgesic may help if your homeopathic (did i spell that right lol) "local" doesnt quite fit the bill , maybe when she goes to sleep. as for the oils and such you treated the wounds with initially, im going to have to read up on them as i really am not "up on" those types of remedies but i do believe in their capabilities. since i do a lot of welding in my current carreer ive had burns quite often but none in particular requiring an ER visit, ive always used a zinc based gel we keep handy at the shop for these type burns and ive found it takes away the sting qite well and the wounds with proper bandaging and such heal pretty quick even on my old hide.

im glad you shared your treatment and i look forward to learning a bit more about the techniques and ingredients you used. thanks for sharing!
 
They gave us liquid Vicodin to use 20 minutes before a redressing. I'm totally not opposed to doping her up- if it were my hand I'd be damned if I put up with a dressing change twice a day without narcotics! During the rest of the day it doesn't seem to bother her- she'll whack it around and crawl on it and put her weight on it when she's stepping up into the car or up steps, it's just anytime I so much as look at it sideways.

The salve itself is mildly numbing, but the whole process of getting the bandage off, soaking her hand in the disinfectant solution (easier than squirting it all over), applying the salve-covered gauze, then wrapping it up takes about an hour. And a lot of tears. And a lot more holding her down than I like.

~Rose
 
Bless her little heart. Hope she heals well and quickly.
Sounds like you are able to keep a cool head, not sure I would be able to do the same - you are a trouper too!
 
RoseRedHoofbeats said:
They gave us liquid Vicodin to use 20 minutes before a redressing. I'm totally not opposed to doping her up- if it were my hand I'd be damned if I put up with a dressing change twice a day without narcotics! During the rest of the day it doesn't seem to bother her- she'll whack it around and crawl on it and put her weight on it when she's stepping up into the car or up steps, it's just anytime I so much as look at it sideways.

The salve itself is mildly numbing, but the whole process of getting the bandage off, soaking her hand in the disinfectant solution (easier than squirting it all over), applying the salve-covered gauze, then wrapping it up takes about an hour. And a lot of tears. And a lot more holding her down than I like.

~Rose

yeah, to her the redressing is a reminder of the accident and the hurt that came from it. this is why she reacts that way when it doesnt bother her otherwise. this too will pass, like i said as long as all the parts are in the same room, this is both physical as well as mental. the "hard lesson" will stick, but the pain will not even mentally. kids usually bounce back from a single incident like this with aplomb.

i guess its far enough along that she's not 'touch tender" so the analgesic (i was thinking low dose aspirin or tylenol for kids in case it was still tender in case she tosses in sleep and bumped it) isnt necessary.
 
That makes sense, about it reminding her of it. Plus I'm sure a lot of it is anticipation of the pain and fear that I'll do something to make it hurt worse.

I am great during a crisis- not even twenty seconds had passed between me seeing her touch the stove, swooping her up and getting her to the sink and running cold water over it, barking orders to my husband to get the aloe vera and gauze, and where to find them. I made it through the hospital stay just fine but as soon as they were done and she said, "I sorry I touch the stove, Mama, I sorry I cried. Thank you for making it better," I just about LOST IT. She even got a collective Awww out of the nurses when she thanked them for making her hand better. She ended up asking me if *I* was okay cause I was crying so hard. And it was such a stupid accident to begin with. Now we know.

She's being as good as she can during changes. I walk her through each step and we count to three together before I do anything. Sometimes I have to count to three several times, but she's doing pretty good for a little anklebiter.

I don't remember ever having a real bad burn this young, but I do remember the time I stepped in a fire ant bed with both feet and then tried to brush them off with my hands. I had to have bleach baths to combat the acidity of the venom and huge blisters that kept popping and reforming. NOT FUN.

~Rose
 
I work in a tire plant where burns are a daily occurrence. The best treatment is to get the heat away with cold water. All the hippie ointments and salves in the world will not help...the damage is already done. Leave the blister alone, it is the natural buffer between the real world and new sensitive skin. We use a product called cool gel that does help (very little IMHO) with stinging afterwards.
 
Sorry to here about the accident & feel the pain of both you & your daughter
Sounds like she handled it well. Good tough kid :)
Thank goodness kids heal fast.
Shell remember the hot lesson & forget the rest. But mom will forever be scared forever for allowing it to happen.
No blame mom, accident happen no matter how much we try to prevent them. ;)

Rose;
You done & are doing good. Her burns are healing well, with allot less pain everyday "Mom's Love" does that :)
Now no more guilt. OK, You are a good Mom :)
 
Thanks Dave. =) I'm not feeling all that beat up about, it's just the twice-daily screamfests that get my little mama heartstrings!

As for whether my hippie salves work, there is definitely a precedent for keeping a burn well moisturized in order to reduce scarring, especially preventing hypertrophic scarring. If nothing else it feels good to have something cold and numbing on it. It's not so much about reducing the damage as helping the healing happen faster and relieving pain. The blisters she had would have been much more painful if they had popped on their own, if for no other reason than at least at the hospital she had painkillers.

~Rose
 
Sorry to hear about your misfortune!!!

If its any consolation.... When I was about 10 years old I was running around the house one day chasing my kid sister, and not paying attention (as 10yr olds don't) I accidentally PALMED the stove top of my parents Resolute. It was a snow day so I'm sure it was cold out and cranking the heat. My entire palm was one giant blister. It healed. I don't think my parents even took me to the doc. There was no scarring or after effects.
 
stoveguy2esw said:
one thing i picked up on was wrapping or dressing the burn, you really should not tightly wrap a burn, looser wraps that allow the wound to breathe while keeping it clean and dry are preferred not to mention releaving a little pressure from the already tender new forming skin is less painful.

Well...that depends on the extent of the burn. In a 3rd degree situation you will find that the dressings are wrapped quite tightly. It helps to flatten the scar tissue. I realize that I am talking about a whole 'nuther thing than what Rose (and child) are going through. Lets just say that I don't want to see another ace bandage in my life.
 
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