What should be the first step in managing a burn?

The first step in managing a burn is to cool the burn under running water. This immediate action helps to reduce the temperature of the burn site, which in turn can minimize the extent of damage to the skin and underlying tissues. Cooling the burn alleviates pain and reduces swelling by constricting blood vessels, which helps to prevent further injury and complications. Typically, cool (not cold) water should be applied for at least 10 to 20 minutes to ensure proper cooling.

Applying ointments immediately is not advisable, as ointments can trap heat in the tissue and worsen the injury. Covering with a blanket might provide warmth but is inappropriate in the immediate response to a burn, as it does nothing to manage the injury effectively at that stage. Wrapping with gauze tightly can also be harmful, as it can affect circulation and cause additional damage to the burn area. Thus, cooling the burn is always the primary and most crucial first step in proper burn management.