Why is it important to avoid using ice directly on burn wounds?

Using ice directly on burn wounds is important to avoid because it can further damage the skin. When ice is applied directly to a burn, it can constrict blood vessels and reduce circulation to the area. This can lead to additional tissue damage and, in some cases, can worsen the burn's severity. The cold temperature can also cause frostbite on top of an existing burn, compounding tissue injury and hindering the natural healing process.

This approach contrasts with appropriate first aid, which includes cooling the burn with cool (not cold) water to alleviate pain and reduce thermal injury. Proper management of burns involves applying cool, running water to the affected area for a specified time to help dissipate heat and minimize damage while avoiding extreme cold that ice can cause.