Burns and Scalds in Children: First Aid and When to Seek Care
An independent educational resource prepared by Mark M. Simonian, MD, FAAP
Sources checked: August 6, 2026 | Medical review completed: August 6, 2026
This page is for general education only and does not replace individualized medical advice. This resource does not establish a doctor-patient relationship. For questions about your own child, contact your child's current healthcare professional.
Magnolia Pediatrics, Valley Children's Healthcare
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A burn can be caused by hot liquids, steam, a hot surface, flame, electricity, or chemicals. Cool a simple thermal burn promptly with cool running water, protect the skin, and seek urgent care for deep, large, blistering, electrical, chemical, or smoke-related burns.
Urgent Warning Signs - Check This First
Do not try to judge a serious burn only by pain. Deep burns can have white, charred, leathery, or numb skin. Electrical and chemical burns can cause deeper injury than is visible.
CALL 911 NOW
Trouble breathing, coughing, hoarse voice, soot around the mouth or nose, or a child who was in an enclosed fire or smoke-filled space
A child is unconscious, confused, having a seizure, in shock, or you believe the burn is life-threatening
A large burn, a burn from a major fire or explosion, or a burn involving a suspected electrical current when emergency help is needed
For an electrical injury, do not touch the child until the power source is off or the child is safely separated from the current
GET EMERGENCY MEDICAL CARE NOW
Any electrical or chemical burn, including a burn from a battery, outlet, cord, household cleaner, acid, or alkali
Skin that is white, charred, leathery, burned away, numb, or a blistering or swollen burn larger than the child's hand
A burn on the face, eyes, hands, feet, genitals, mouth, a major joint, or completely around an arm, leg, finger, or toe
A burn with severe pain not improving after cooling, an oozing burn, or a burn with swelling that may interfere with breathing, vision, movement, or circulation
CONTACT YOUR CHILD'S HEALTHCARE PROFESSIONAL TODAY
Any blistering burn, even if small, unless your child's healthcare professional has already given you a home-care plan
Redness or pain lasts more than a few hours, the burn looks dirty or is hard to clean, or you have questions about tetanus vaccination
The burn becomes more red, swollen, warm, painful, foul-smelling, or develops pus or red streaks
Your child has a mouth burn from chewing an electrical cord, a burn from a hair appliance, friction burn, or a recurring safety risk at home
First Aid for a Simple Thermal Burn
Stop the heat exposure. Remove hot or smoldering clothing and jewelry unless it is stuck firmly to the skin. Do not pull off clothing stuck to a burn
Cool the area with cool running water for about 20 minutes as soon as possible. For a face burn, use a cool wet cloth. Do not use ice
Cover with a clean, non-stick dressing or clean cloth. Keep the child warm overall and avoid rubbing the burned skin
Do not pop blisters. Do not apply butter, grease, toothpaste, powder, or other home remedies. Use only medicines or ointments recommended by a healthcare professional
Give only age- and weight-appropriate pain medicine as directed by the product label or your child's healthcare professional
Chemical Burns
Move the child away from the chemical and remove contaminated clothing while protecting yourself. Brush off a dry chemical if present, then flush the skin with plenty of running water
For a chemical in the eye, begin flushing immediately with clean lukewarm running water and seek emergency care. Do not delay to search for the product information
Call Poison Control at 1-800-222-1222 for immediate, product-specific guidance after flushing. Keep the container or product name available
Do not try to neutralize a chemical with another substance
Preventing Scalds and Burns
Keep hot drinks, soup, and other hot foods away from edges and out of reach. Never carry a child while carrying a hot liquid
Turn pot handles toward the back of the stove, use back burners when possible, and keep children out of the cooking area
Set the hottest water at the faucet no higher than 120 F (48.9 C), or use scald-prevention devices if the water heater must be set hotter for another reason. Test bath water before placing a child in it
Keep hot appliances, candles, fireplaces, grills, space heaters, matches, lighters, and electrical cords away from children. Use outlet covers and inspect damaged cords
Install and maintain smoke alarms, make and practice a home fire-escape plan, and keep pool and household chemicals secured
Call Preparation
What caused the burn; when it happened; body location and approximate size; whether skin is red, blistered, white, charred, numb, or oozing
Any smoke exposure, electrical source, chemical product, medicine or home treatment already used, and the child's symptoms
For chemical exposures, the product container, ingredient list, and Poison Control recommendations
Related Guides
First Aid for Common Injuries: When to Seek Care
Poisoning and Possible Ingestion: What to Do Now
Sun Safety and Sunburn in Children: Prevention and When to Seek Care
Child Safety Checklist: Infants and Young Children
Sources and Medical Review
HealthyChildren.org (American Academy of Pediatrics), First Aid for Burns: Parent FAQs: Read source
HealthyChildren.org (American Academy of Pediatrics), Burn Treatment and Prevention Tips for Families: Read source
HealthyChildren.org (American Academy of Pediatrics), Burn Symptom Checker: Read source
HealthyChildren.org (American Academy of Pediatrics), Electric Shock Injuries in Children: Read source
Centers for Disease Control and Prevention, Preventing Waterborne Germs at Home: Read source