For thermal burns with less than 10% BSA, which action is recommended?

• A. Stop burning with non-chilled water or saline
• B. Apply ice
• C. Break blisters
• D. Remove clothing

Answer: (A)

Immediate cooling of the burn with cool running water or sterile saline is the best action for a thermal burn under 10% body surface area. Cooling stops ongoing heat injury and helps limit depth, pain, and swelling, so start soon and continue for about 10 minutes. Ice should be avoided because extreme cold can cause further tissue damage and frostbite. Breaking blisters isn’t advised since intact blisters protect underlying tissue and reduce infection risk. Remove clothing or jewelry around the burn only if it’s not stuck to the skin; if it is stuck, leave it in place to avoid tearing tissue.