First aid
Burns
Emergency call 144. In case of unconsciousness, respiratory arrest or life-threatening bleeding, immediately alert the medical emergency control centre and follow its instructions.
Burns and scalds are among the most common household emergencies – especially during a power outage, when candles, portable gas stoves and open flames are being handled. What matters is rapid, correct cooling and a realistic assessment: extensive and deep burns always require medical treatment.
Immediate measures
- Stop the heat source: smother flames with a blanket or extinguish with water, burning clothing – lie down and roll
- Cool the affected area immediately under running, lukewarm tap water (about 15–20 °C) – for 10 to 20 minutes; children 5 to 10 minutes, do not cool newborns and infants under water (University Hospital Zurich, University Children's Hospital Zurich)
- Early on, remove jewellery and any clothing that is not stuck to the skin, before the area swells
- Leave clothing burnt into the wound in place
- Then apply a dry dressing. If the wound needs to be treated by a doctor: cover it loosely with plastic film or a clean plastic bag (Swiss Samaritans)
What does NOT belong on a burn
- No home remedies such as flour, oil or toothpaste (University Children's Hospital Zurich)
- No ointments or creams on burns
- Do not open burn blisters
Caution: No ice and no ice water – never cool with anything ice-cold.
When to see a doctor or call 144
- Burns to the face, neck, hands, feet, large joints or genital area
- Larger areas and all deeper burns (white to brownish, leathery or charred, often only slightly painful areas)
- Burns caused by electricity or chemicals
- Always have burns in children assessed by a doctor – the University Children's Hospital Zurich advises always calling 144 for children
- Smoke inhaled – hoarseness, soot on the face or in the nose, shortness of breath: seek medical help immediately, 144
- Carbon monoxide has no smell and causes no irritation: headache, dizziness, nausea, confusion or shortness of breath after smoke or fire in enclosed spaces – get into the fresh air (watching out for your own safety), go to hospital immediately, 144 if symptoms are marked (Tox Info Suisse)
Scalds and burns in children
- Do NOT cool newborns, infants or large scalds under water: cover cleanly, keep warm, 144 (University Children's Hospital Zurich)
- Children: cool for 5 to 10 minutes with lukewarm water (15–20 °C) – because of the risk of hypothermia, only the injured areas (University Children's Hospital Zurich)
- After cooling, remove soaked clothing or nappy and warm the child, for example with a blanket (University Children's Hospital Zurich)
- Even a single cup of hot liquid can scald large areas of skin in young children – if in doubt, have it assessed by a doctor
Further sources
- Swiss Samaritans First aid for burns
- University Children's Hospital Zurich Information sheet on burn and scald hazards
- University Hospital Zurich Burns and scalds
- Tox Info Suisse 145 Carbon monoxide and poisoning – emergency number 145
- BFB Advisory centre for fire prevention
This content is for information only and does not replace first-aid training. We recommend a recognised first-aid or BLS-AED course.