What is an effective first intervention for a 2nd degree burn?

Flushing a second-degree burn with cool water is an appropriate first intervention because it helps to cool the burn area, reducing the temperature of the skin and mitigating tissue damage. The application of cool water can provide immediate pain relief and cleanse the area of debris, which is essential for preventing infection. The water should be cool, not ice cold, to avoid further skin damage or shock to the tissues.

Using butter, while sometimes mentioned in past advice, is not advisable as it can trap heat and potentially worsen the burn. Wrapping the burn tightly with gauze may cause additional pressure and discomfort; instead, loose and sterile covering is recommended to protect the area while allowing for ventilation. Directly applying ice can result in frostbite or further injury to the already damaged skin, which is why it is not recommended for burns. Thus, gentle cooling with cool water stands out as the safest and most effective initial response for a second-degree burn.