If a patient with a chest burn due to boiling liquid requires immediate first aid, which action is appropriate?

• A. Immediately soak the chest including clothing with cool water
• B. Apply ice to the chest
• C. Rub the area with ointment
• D. Delay cooling and cover with dry material

Answer: (A)

Cooling the burn with cool running water as soon as possible is the most important first aid step. This immediate cooling draws heat away from the skin, limits tissue damage, and reduces pain and swelling. For a chest burn from boiling liquid, keep the water cool (not icy) and run it over the area for about 10 to 20 minutes. If clothing is not stuck to the skin, it can be removed to allow cooling to reach the skin and fabric; the key is that heat must be drawn away quickly. Avoid applying ice, ointments, or any rubbing, as these can worsen tissue injury or trap heat. Delaying cooling or covering with dry material keeps heat in and can worsen the injury.