Which action is an appropriate initial step in BLS burn treatment?

• A. Break contact with causative agent
• B. Remove tar from burn
• C. Apply ointment
• D. Immediately immerse in cold water

Answer: (A)

Stopping the burn by removing the person from the heat source or removing the burning agent is the immediate priority. When you break contact with what’s causing the injury, you halt ongoing tissue damage and pain, giving you a chance to assess the burn and start proper cooling and dressing without letting the injury worsen.

After exposure is stopped, you can proceed with appropriate steps such as cooling with running water for small, superficial burns and covering with a clean, nonstick dressing. Do not rush to remove materials that are adherent or to apply ointments in the field, as these can cause further tissue damage or interfere with care. Immersing in cold water isn’t the best initial step for all burns and can be unsafe for large burns or certain chemical burns, so it isn’t the first action to take.