One or two-year-old children are particularly curious about the outside world, born calves are not afraid of tigers, two little feet can walk, want to explore everything. At this stage, parents should be especially careful to prevent accidental burns. After a child is scalded, change the medicine to reduce the inflammation of the wound and avoid deepening the skin damage. But changing the medicine is a very painful task for the child. For parents, it is a heartbreaking experience. In foreign countries, medications are often changed under general anesthesia. Parents in China are more resistant to this general anesthesia. My personal approach is as follows: 1, first aid: rinse with cool water for 20 minutes can reduce tissue damage. 2, the child burns area of 5% or less, not including the hand or face can not be hospitalized. 3.The first time to clear the wound can be used muscle or oral painkillers. 4.Cleaning: first put a few drops of local anesthetic on the burn wound, disinfect with diluted iodophor, and cut off the upper skin of the broken blister. 5. The traditional adjuvant is an antibacterial containing silver sulfadiazine (Silver sulfadiazine). This ointment, may cause local irritation, rash, fever, serum sickness-like reactions and other allergic reactions. There is also the possibility of partial absorption, thrombocytopenia, anemia, nausea, vomiting and diarrhea. The most important thing is that the child suffers from the need for frequent drug changes. There are many kinds of new generation excipients, all of which contain silver ions and have strong absorption properties. Silver ions are bactericidal, but they are not excessively absorbed by the body. The excipients also absorb the wound secretions. The biggest advantage for children, parents and doctors is that the excipients can be left on the wound for a week or two. The epithelium of an average second-degree burn heals almost completely in two weeks. This means that the child does not have to change the dressing repeatedly. So after debridement, if there are no signs of deep (third degree) burns, I like to use this new generation of burn dressings, I have used brands such as Acticoat, Aquecel, etc.