(Disclaimer: This article is for general use only. To protect patient privacy, the information in the following content has been processed.) Abstract: The patient was inadvertently burned by flame on his left wrist at work and came to the hospital one hour after the injury. After admission, he was given a wound debridement and bandage, and relevant auxiliary examinations were completed. Considering that the patient’s trauma was deep and in a functional area, the trauma was difficult to heal and left heavy scars after healing, which might affect the function, the patient underwent autologous skin grafting of the left wrist trauma after the exudation period. Basic information】Male, 50 years old 【Disease type】Flame burn on the left wrist, 1% area, deep II-III degrees 【Visiting hospital】Jinan Central Hospital 【Visiting time】January 2022 【Treatment plan】Wound debridement autologous skin grafting + compression garment pressure therapy 【Treatment cycle】Inpatient treatment for 17 days, outpatient follow-up after six months 【Treatment result】Wound healed, scar is light I. Initial consultation The patient was not given first aid measures such as cold water rinsing after the injury and came to our hospital one hour after the injury. Based on the patient’s flame burn history and trauma examination, the patient was clearly diagnosed with a 1% flame burn on the left wrist, deep II-III degree. The patient was advised that because the trauma was deep, it was difficult to heal and the scar growth after healing was heavy, so in order to improve the healing quality, inpatient surgery was recommended. Immediately after admission, the patient was disinfected and dressed with a sterile dressing to promote wound healing. The sterile dressing created a relatively sterile and moist environment to avoid wound infection and deepening of the wound, making it difficult to recover. The patient’s trauma was deep, and it might take several weeks to heal without surgery, and the scar would gradually increase after healing, affecting wrist movement, so the patient and family were consulted, and they agreed to surgical treatment in order to improve the quality of healing. On the third day after the burn, an autologous skin graft was performed to clear the left wrist wound, and the autologous skin was taken from the left femur. The patient had good postoperative skin graft survival and the donor area healed on time. After healing, the patient was advised to use silicone drugs, such as silicone paste, custom-made compression garment for compression therapy, and postoperative photoelectric therapy, which can achieve the effect that the scar is basically inconspicuous. The patient was discharged after 17 days of hospitalization due to good recovery of the burn area. The patient was instructed to follow up regularly on an outpatient basis. At the six-month postoperative follow-up, the patient had a good recovery of the trauma and a light scar. IV. Precautions The patient was happy that the trauma recovered with less scarring after the surgery and pressure treatment. However, due to the deep II degree and above depth burns, timely wound healing will also leave scar, and the scar will gradually rise above the skin, redden, increase and itch, and also cause functional impairment in functional parts. Therefore, it is recommended that patients actively cooperate with systematic scar control measures after surgery to achieve better recovery results. And it is necessary to review regularly after surgery to observe the situation of scar proliferation. At the same time, it is important to avoid spicy food and alcohol, and to pay attention to the need for strict sun protection on the scar area. The first aid after a small burn is very important to reduce or not to continue to deepen the trauma depth, must be timely continuous cold therapy, you can use tap water rinse, cool water soak, cool towel cold compress, etc., but do not use ice directly touch the skin to prevent frostbite, the cold therapy time can be longer to stop cold therapy after the trauma does not feel pain, and then timely to the hospital. If the patient could also have timely and adequate cold therapy after the injury, it would have been more beneficial to reduce the depth of the trauma and also facilitate the recovery. Fortunately, after the surgery and pressure treatment, the trauma recovered better and the scar was lighter.