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Burn Care in Beaumont: Which Burns Need the Emergency Room

A small red burn from a pan usually heals with first aid at home. A burn that blisters over a large area, looks white or charred, or affects the face, hands, feet, groin or a major joint needs medical care. Electrical and chemical burns, and burns with smoke exposure, are emergencies. Eastex Emergency Room in Beaumont is open 24/7 for burn evaluation and first-line treatment.

Blistering burnsHand and face burnsChemical burnsElectrical burns
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Call 911 for these burns

Large or deep burns, airway burns and electrical injuries can be life-threatening and often need a specialized burn center.

  • Trouble breathing, coughing, hoarse voice or wheezing after fire or smoke
  • Burns on the face, lips or mouth, singed nose hairs or black-stained mucus
  • Large burns covering a big part of an arm, leg, chest or back
  • Deep burns that look white, leathery, brown or black, or feel numb
  • Electrical burns, including lightning, even if the skin looks minor
  • Major chemical burns
  • Burns that circle an arm, leg, finger or the chest
  • Signs of shock: pale clammy skin, weakness, fast pulse, confusion

For electrical injuries, do not touch the person until the power source is off. For chemical burns, remove contaminated clothing and rinse the skin with running water while help is on the way.

Symptoms

How deep is the burn?

Burn depth helps decide where to go. If you are not sure, treat it as a more serious burn and get it checked.

  • First-degree: red, dry and painful, no blisters, like a mild sunburn
  • Second-degree: blisters, wet or shiny skin, very painful
  • Second-degree burns can look worse over the first day or two
  • Third-degree: white, brown, black or leathery skin
  • Third-degree burns may hurt less because nerves are damaged
  • Swelling around the burn
  • Peeling skin over the following days
  • Signs of infection later: spreading redness, pus, fever
  • Hoarse voice or cough after smoke, which can mean airway injury
  • Pain that over-the-counter medicine does not control

Possible Causes

Common causes of burns at home and work

The type of burn affects first aid and the evaluation.

Heat and scalds

Hot liquids, steam, cooking oil, grills, irons and hot car parts. Scalds are especially common in young children.

Chemicals

Drain cleaners, pool chemicals, cement and industrial chemicals can keep burning until rinsed off.

Electricity and radiation

Electrical burns can damage deep tissue and the heart rhythm. Severe sunburn can also need care.

Burns can change: a burn can look deeper and larger over the first 24 to 48 hours. Electrical burns may cause damage inside the body that is not visible on the skin. That is why a burn that seems borderline today is worth checking, and why follow-up after the first visit matters.

Your Evaluation

What the ER does for a burn

The team checks breathing first, estimates the size and depth of the burn, controls pain, and decides whether you need a burn center.

  1. Airway and breathing. Especially after a fire, smoke or steam exposure.
  2. Size and depth. The team estimates how much of the body is burned and how deep.
  3. Pain control. Medicine to make you comfortable, sometimes through an IV.
  4. Cooling and cleaning. The burn is cooled if still needed, cleaned and dressed.
  5. Tetanus. Your tetanus vaccine status is checked and updated if needed.
  6. Next steps. Home wound care instructions and follow-up, or transfer to a burn center for serious burns.

Testing available on site

Wound care

Cleaning, closing and dressing cuts and other wounds.

IV fluids and medicine

Fluids and medicines through an IV when you need them.

Lab testing

Blood and urine tests run on site.

EKG and monitoring

A tracing of your heart rhythm, repeated if needed.

The tests above are the diagnostic services Eastex ER lists on its own service pages. Not every patient needs every test. The emergency physician decides what to order based on your history and exam, and a normal result does not rule out every cause. Always follow your discharge instructions and the follow-up plan you are given. An EKG is usually part of the evaluation after an electrical injury.

Eastex ER is not a burn center

Eastex ER is a freestanding emergency room. It is not a burn center and does not provide burn surgery, skin grafting or inpatient burn care. Patients with large, deep, electrical, chemical or airway burns, or burns on the face, hands, feet, genitals or major joints, are stabilized and transferred to an appropriate hospital or burn center.

  • For major burns, call 911 so EMS can take the patient to the right facility.
  • Smaller burns can often be evaluated, dressed and followed up as an outpatient.

First aid for burns before you come in

Good first aid in the first few minutes can limit damage.

  • Stop the burning. Move away from the heat source. Remove clothing and jewelry near the burn before swelling starts, unless it is stuck to the skin.
  • Cool the burn under cool, not cold, running water for about 10 to 20 minutes. Do not use ice.
  • Cover it loosely with a clean, non-fluffy cloth or plastic wrap.
  • Do not pop blisters, and do not put butter, oil, toothpaste or other home remedies on the burn.
  • Keep the person warm. Cooling a large burn can cause the body temperature to drop, especially in children.

Burns in children and older adults

Children’s skin is thinner, so hot liquids burn more deeply and quickly. Babies, young children and older adults may need medical care even for smaller burns. If a burn in a child does not match the story of how it happened, healthcare professionals are required to ask more questions to keep children safe.

Caring for a minor burn at home

For a small first-degree or small second-degree burn away from the face, hands, feet, groin and joints, keep it clean, cover it as advised, and use over-the-counter pain relief as directed on the label. Get it checked if it shows signs of infection, does not heal within about two weeks, or you are unsure how deep it is.

Planning Your Visit

Before you come in

If a chemical caused the burn, bring the container or a photo of the label. Bring a list of medicines and the date of your last tetanus shot if you know it.

Find us

5550 Eastex Fwy, Suite C, Beaumont, TX 77708. Open 24 hours, every day. Call 409-800-1100.

What to bring

Photo ID, insurance card and a list of your medicines and allergies, if you can grab them safely.

Insurance

See which plans we work with and what to expect as a freestanding emergency room.

Billing

How emergency visits are billed, and who to contact with questions about a bill.

FAQs

Burn questions

Short answers to questions people ask before they come in.

Not sure what to do?

If symptoms are severe or getting worse, call 911. For questions about coming in, call Eastex ER any time.

409-800-1100

Go for burns that blister over more than a small area, deep burns, burns on the face, hands, feet, groin or a major joint, electrical or chemical burns, or any burn with smoke exposure or breathing trouble. Call 911 for large, deep or airway burns.

No. Blisters protect the skin underneath from infection. Let a clinician decide how to manage large blisters.

No. Ice can deepen the injury. Cool the burn with cool running water instead.

Many small, superficial burns can be treated at urgent care or by your doctor. Larger, deeper or high-risk burns need an emergency room and sometimes a burn center.

Electricity can damage muscles, nerves and the heart without much visible skin damage. An evaluation, often with an EKG, is recommended.

Superficial burns often heal in about a week. Deeper second-degree burns take longer and may need follow-up. Deep burns may need specialist care.

Keep Reading

Related guides

More from Eastex ER on deciding where to go and what to expect. Browse every guide in our health resources library.

Blistering or deep burn? Get it checked now.

Eastex Emergency Room is open 24/7 at 5550 Eastex Fwy, Suite C, Beaumont, TX 77708. Walk in or call 409-800-1100. For a life-threatening emergency, call 911.

Sources

  1. MedlinePlus: Burns
  2. Mayo Clinic: Burns - First aid
  3. MedlinePlus: Burns (health topic)

Last updated:

This page is general education and does not replace an exam by a clinician. If you think you are having a life-threatening emergency, call 911.