If there are blisters, the burn has been broken, use a protective dressing. Burn relief cream or cream for burns will typically include aloe as well, if not to soothe, then to help progress the healing process. Can burning your gums with hot water cause small blisters on the gum? If the burn is caused by fire, stop the person's contact with the hot steam, object or liquid. This will help prevent infection, which is the biggest risk with burst blisters. In their study, it was superior to honey.14 However, as already mentioned, other studies have shown that honey can be superior and more effective than silver sulfadiazine.10. the skin underneath the blister is actually healing while the blister protects it from further damage and. Burns and scalds. Step 3: You can see a doctor to test burn severity, prescribe antibiotics and pain medical interventions, and administer a tetanus injection if needed. Many of these products also include aloe, which will help moisturize and soothe the skin. The bandage can be changed every 24 hours and if it has stuck to the wound, you should soak it in warm water before removing. Utilizing over the counter burn cream or ointment can help during the healing process to give you relief and peace of mind. No. Indian J Dermatol. Avoid the temptation to scratch the wound as it heals. For information about sepsis or septic shock, click here. Help the person involved -stop, drop and roll to softer flames, Remove hot or burned clothing. Apply an antibacterial ointment (see below why honey can be used as an antibacterial agent) and a thin non-stick gauze. How Long Does It Take for a Sunburn to Heal? Many of these over-the-counter ointments include pain relievers, itch soothers and some form of anti-septic. This will help to slow down the progression of the burn. The first step to take when you get burned is to apply cool water to the injured skin. Typically, there are no complications and healing will occur with minimal intervention. Most basic first-aid kits come with a little packet of burn relief cream. But what is burn relief cream, and how can it help? How do I treat this? While often used interchangeably, an ointment implies an oil-based component, and cream implies there is not. Apply ointment on the skin can be 3 times a day. Doctors from WebMD say that you should apply a clean bandage to a burn blister that has broken. In addition to the following, you should seek medical advice to treat burns that have blistered, show signs of infection like pus oozing from the wound, or a wound that wont heal with natural or pharmaceutical remedies. Researchers found that honey contains many antibacterial and antiseptic properties that help prevent infections developing in wounds. Blistex topical side effects. Instead, you should apply honey or aloe vera to a burn to help boost the wound healing process. The blister will gradually resolve with time i wouldn't use an ointment on. *If your burns are more severe or you are currently receiving treatment, check with your doctor before applying any gel, cream or ointment to ensure it does not interfere with your care plan. Check with your healthcare provider before starting something different. According to the journal American Family Physician, you should care for a burn following these methods: 9. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. For minor superficial skin burns (first-degree burns), home remedies include cleaning, washing, cooling, treating pain, refraining from scratching, and preventing tetanus. Be sure to watch for signs of infection, which may require additional medical care. Good day I am getting a blister type of rash around my elbow area and on the inside of my arm. Burns can inflame fast' Take the following measures: This burn affects the two outermost layers of skin. How to avoid common first aid mistakes. Creams containing silver sulfadiazine are commonly used to treat burn injuries. Vitamin C aids in skins natural regeneration procedure, which assists your body restore destroyed skin. Required fields are marked *. You should always avoid popping a burn blister because the wound could become easily infected. eMedicineHealth does not provide medical advice, diagnosis or treatment. Instead, seek medical attention and ask what sort of after-care you should perform at home for the best outcome possible. It is also important to avoid using iced water as ice can damage the sensitive layer of skin even more.5. Often, burn relief cream and ointment will be a mixture of all these helpful ingredients, creating the ideal environment for skin renewal, healing and good bacteria and microbes, such as those that help fend off infection and build scabs. MayoClinic. Do not use butter on a burn. If there is a likelihood that the blister could burst, then doctors recommend applying a sterile dressing and bandage to the wound (make sure to wash your hands first before touching the burn to avoid infection). Opened-Burn Blisters Immediately apply an antibiotic ointment or an aloe-based gel to affected area to prevent infection. First, you can apply an antibiotic cream and then put a clean bandage on the wound. In any case, doctors recommend that you seek medical advice if second or third-degree burns have resulted in skin blistering. The duration of the pain; how long it lasts. These infections can affect the burn wound and can be more complicated to treat properly. PROVIDERS AVAILABLE 24/7 People may wish to take over-the-counter pain medicine, such as ibuprofen, may help ease any discomfort. If any symptoms of infection develop, patients should be referred to a burn unit. Treating minor burns or caring for burns after leaving the burn center can be intimidating! Bandage the burn. Burn blister fluids are essential to help the skin regenerate and grow back again. Gentle cleansing with gentle soap and water, and then apply an antibiotic ointment or cream with a non-stick dressing. Do not use egg whites as they carry a risk of bacterial infection and thus should not be placed on a burn. If no pain or itching is present, it is still recommended to use some form of antibacterial or antimicrobial topical treatment to prevent the onset of infection; this holds true for every type of burn from friction and thermal to electrical and radiation (sunburn). For larger areas or parts of your body that you cant put under cool water, you can use a cool, damp towel to cool the burn. Burns may begin to itch from first-degree to second-degree as the skin peels off, heals and scars. Antibiotic, anti-microbial and anti-septic all mean the same thing: they prevent harmful microbes and bacteria from colonizing the wound and causing infection. This helps prevent drying and provides relief. Doctors from the Mayo Clinic recommend that you do the following for burns:8. Some antidepressants offer pain relief for some people, even if they are not depressed. Ask your provider for a recommendation. Third-degree burns require prompt medical attention. Aloe vera also improves collagen production in the skin which accelerates burn wound healing.11, According to the journal Phytomedicine, aloe vera can be used as a first aid treatment for first, second, and third-degree burns. Beside the painkillers, you also need to use behavioral approaches to make the pain manageable. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. If the itch persists with creams or ointments, ensure you are not allergic to any of the ingredients and try taking an allergy medication as a supplement. According to the Journal of Cutaneous and Aesthetic Surgery, a topical application of honey can help wounds heal faster. It is also possible that burn blisters only appear later as the burn wound continues to affect the skin.1, According to the journal Burns & Trauma, burn blisters occur because the top layer of skin (the epidermis) is destroyed. Burn blisters usually appear after a second-degree burn to your skin. Burned skin blisters form to help the damaged epidermis heal. Dr. Roger Henderson on Patient.info says that partial-thickness burns (second-degree burns) form blisters when the extent of the burn isnt too deep.15. What Is the Best Ointment for Burns? Typically applying toothpaste to the skin especially on darker skin tones can cause long-lasting red or brown patches. For first and second-degree burns you should run the burned area under cool water for at least 15 minutes. For these, please consult a doctor (virtually or in person). With the proper treatment, burns should heal in 10-14 days.2, However, the Indian Journal of Plastic Surgery reports that some type of burn wounds can take several weeks to heal completely.6. Doctors from the National Health Service say that burns that require medical attention are the following:4. To drain a blister that is large, painful, or in an awkward spot: Wash . Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Therefore, you should remove any rings or tight clothing before any swelling occurs. If your wound is not healed, follow your burn care providers instructions. Spread an antimicrobial cream or ointment on the blister to assist in stopping further contamination since you're most likely to get an infection whenever you have burst blisters. We can have: Burn blister on the skin; Burn blister on lip; Blister on the palm or finger; Blister on the back of the heel and other parts of the body; Also Read: 5 Best . Unless otherwise directed by your burn care provider, avoid putting analgesic creams and ointments on open or healing burns and wounds. Over the counter burn cream is easy to find and varies between moisturizing, anti-septic and pain-relieving topical medication. Burns: first aid. Once your wound is healed or closed, you can consider some anti-itch creams that have pramoxine or hydrocortisone. Ointments and creams recommended for use on burns, What an infected burn looks like, and how to tell if your burn is infected, How to identify and treat sunburns and sun poisoning in kids . Use the needle to prick the blister in several spots near the edge. These medicated topical treatments may also include aloe, anti-itch ingredients, pain relievers and antibiotics. However, much depends on the severity of the burn and how well you treat and care for the burns. In the treatment of blisters from burns, ointment with the addition of belladonna is used. Medical treatments for severe burns may include: Seek medical attention immediately for a burn if you are not sure how bad it is, if you think it might be serious, or if the burn: Symptoms of a burn depend on how badly the skin is burned: Symptoms of a superficial skin burn (previously called a first-degree burn) include: Symptoms of a superficial partial-thickness burn (previously called a second-degree burn) include: Symptoms of a deep partial-thickness burn (previously called a third-degree burn) include: Symptoms of a full-thickness burn (previously called a fourth-degree burn) include: 1996-2022 WebMD, Inc. All rights reserved. Any kind of burn that leaves white marks or charring on your skin. Your email address will not be published. Before we discuss the ointments to use, let's look at how to determine when to use an ointment to treat a burn. The doctor will assess the burn and may prescribe antibiotics and pain medication. I ha. Appropriate first aid must be used to treat any burns as soon as possible. Anything greasy on a burn will delay healing.16. As burns are excruciating, less dressing changes, and thus less associated procedural pain and distress, are highly desired and may expedite healing. Regular application of water-based moisturizing cream is commended. J Cutan Aesthet Surg. First aid for burns. The experts at Burn and Reconstructive Centers of America (BRCA) are here to help you choose the ointments and creams that are right for your needs. This is often the case with sunburn blisters where they usually appear the day after. Ice and freezing water can irritate your burn region. To learn more, please visit our, is intact, leave it alone! and a light gauze wrap to protect it until it bursts on its own (this can take days). Burns and scalds. Use sterile white petrolatum or petroleum jelly and a light gauze wrap to protect it until it bursts on its own (this can take days). Burns were formerly classified as first, second, third, or fourth degree, but the categorization now used better describes which burns require surgical treatment. For a minor superficial skin burn (formerly, a first-degree burn) that does not require a doctor visit, home treatment may be all that is needed to relieve pain, treat infection, and help the burn heal more quickly. Click here to learn more about thermal burns. Don't Pop or Peel In this article, we will explore first aid techniques for yourself or another person who has been burnt. Knowing the best methods for treating burns will help to speed up recovery time. If you have a skin infection that is difficult to treat, silver sulfadiazine may help clear the infection quicker. You will also find out the medical reasons why you shouldnt pop a burn blister. Running the wound under cold water or applying damp cold compresses are usually the best first-aid treatments for mild to moderate burns. Apply lotion. Burns leave the body susceptible to infection. In case you see any signs of infection, such as excessive pain, redness, bumps, and fever or oozing. Healthy and Natural World is supported by its audience. You can also use a cool bath or press a towel soaked in cool water on the burn. With the proper care and using home remedies, you can successfully treat first-degree burns and most second degree-burns. The thin layer of skin filled with fluid is actually essential to the healing process. Aloe-based ointments or creams are great for soothing painful first-degree burns and moisturizing the damaged skin. If you suffer a first, second, or third-degree burn, its important to follow the proper first aid to speed up recovery. 2022 WebMD, Inc. All rights reserved. While doctors favor less expensive dressing, frequent dressing changes and a lower chance of infection may be relatively costly antimicrobial dressings more cost-effective. *Lidocaine and Menthol-based pain relievers are not recommended for those with open wounds or severe burns. Most doctors agree that you should never pop a burn blister yourself. Are povidone iodine/bacitracin ointment good for it. Burns. Over the counter burn care treatments are never a bad idea when it comes to treating minor burns at home. The following are various types of burn pain: You must also be able to describe the intensity of the pain: Opiates are the most common painkillers given in a hospital for burn pain relieve. There are so many products out there; how do you know which ones are safe to use on your burns? When to Drain a Blister. You should also be able to tell the quality of the pain, for example stinging, throbbing, itching, and shooting. Apply aloe vera gel or honey to the burn injury to help boost the healing process. *Packaging should mention that the product is intended for burns. Take off jewelry, belts and tight clothing. Take an over-the-counter (OTC) pain reliever for any pain or inflammation. However, this should be done by a qualified doctor.17. According to one study, Neosporin didnt have a good antibacterial effect when used in burn treatments.14, One study did show that Neosporin powder could accelerate wound healing. [10] 6 If a burn blister pops and the fluid drains out, its important to cover the area with a dressing to keep germs away from the wound. They can also help with sleep. the skin underneath the blister is actually healing while the blister protects it from further damage and infection. In this section, we will discuss when to call 911 because of a burn and the fast aid for the first, second and third degree burns. Petroleum jelly, applied two to three times daily, mayhelp the skin in the burned area retain moisture and heal more quickly. If a blister does break, gently clean the area with water and apply an antibiotic ointment. If the blister is large it may need to be drained and debrided. Instead, a supplemental dose of oral pain-relieving medication and topical medicines may work best to help relieve all-around nerve and wound pain. You can use a compress if running the water is not available. Ointment of any kind is not recommended to treat a burn due to the risk of infection. You can apply ointment to a burn at when dressing or after dressings. Treating a burn blister that hasnt popped may require nothing more than just gentle cleaning to prevent infection. The Benefits of Blistex Medicated Lip Ointment Clinically shown to elevate lip moisture, help heal dry, chapped lips, and improve overall lip condition Contains four medications to provide relief from the pain, itching and discomfort of lip sores and blisters Moisture and emollient base to hydrate and soften lip cells Burn injuries frequently lead to dry skin, so moisturizers are commonly recommended. When it comes to caring for minor burns, there are a few side effects that can impact you: dry and peeling skin, itchiness, pain and the possibility of infection. How long will this last and scarring?what should I use to get rid of it? Dry skin can sometimes persist for several months after the burn has healed. Not unless the victim has a head, neck, or leg injury, or it would result in discomfort, Cover the person who has suffered the burn with a coat or blanket. When applying honey to heal a burn wound, its important to use a clean cotton swab to gently apply the remedy. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Silver sulfadiazine topical. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. URMC. was last modified: August 16th, 2018 by Jenny Hills, Nutritionist and Medical Writer, Your email address will not be published. Doctors from WebMD say that you should apply a clean bandage to a burn blister that has broken. Save my name, email, and website in this browser for the next time I comment. Keep the area clean. Stop using this medicine and call your doctor at once if you have severe burning, stinging, redness, or other irritation after applying the ointment. Applying aloe vera to a burn helped to reduce inflammation and prevent further skin damage. Eggs also cause an allergic reaction. Clean a sharp needle with rubbing alcohol. Apply a petroleum-based ointment or aloe vera. To change the bandage, allow it to soak in warm water before removing to prevent the open blister from sticking to the gauze. Always wash your hands before handling the burn. Many ointments or creams come with skin-protecting or moisturizing ingredients to help re-hydrate damaged skin or to help rejuvenate the affected area by preparing it for new skin growth. CALL (855) 863-9595. With burns of the 2nd degree, deep damages are not characteristic. A third-degree burn or full-thickness burn will look like the skin is white or charred. Nevertheless, moisturizing products containing sodium lauryl sulfate, such as aqueous cream, are not recommended as they have shown some cases of worse dryness. There is less evidence that adding vitamin E to sorbolene cream leads in scar reduction, but such creams are commonly used. it burns and itches. You can also use honey as a natural remedy for sunburned lips. This is especially important if the burn blister has broken. Researchers from the University of Rochester Medical Center say that putting grease on a burn is a common first-aid mistake. There's slight local swelling. The wound may also be painless if the nerve endings in your skin have been damaged. [9] Common over-the-counter antibacterial ointments and creams include Neosporin and "triple antibiotic ointment," both of which contain neomycin, polymyxin, and bacitracin. While these ingredients are great for the teeth, they are not suitable for applying to burnt skin. This can result in scarring, changes in your skin color, and loss of hair from the burned area. To make our skin tighter, eat healthily, exfoliate your skin, limit UV exposure, and use, A face toner absorbs in the skin to help remove excess dirt, makeup, and traces. Indian J Dermatol. Petroleum jelly, applied two to three times daily, may help the burned area to retain moisture and heal more quickly. It formed blisters and the blisters broke. The classification of a burn may also change over several days. Step 1: Cool the burn Submerge in cold water for ten to fifteen minutes Doctors from WebMD say that the first step in treating a burn blister is to gently run cool water over the burn blister for 15-30 minutes to prevent the burn becoming more serious. If used on the infected burn, silver sulfadiazine cream should be applied onto a sterile cloth. If suffering from a more severe burn, consider using silver-based anti-septic gels or ointments, like those used in burn centers to keep burn patients safe from infection. How can you cure blisters from a sun burn? 00:49 Reviewed by Mera Goodman, MD, FAAP In the heat of the moment, it can be stressful figuring out what to do if you get a burn. You should also describe the impact of the pain; that is how it affects your emotions and your ability to do things. Step 2: Remove constrictive clothing immediately. How intense the pain is, frequently rated on a scale of 0 to 10. When treating burns that have blistered, you should be careful not to burst the blister.4, Does this mean that a burn blister should never be popped in any circumstance? Do not break blisters. In fact, doctors from the American Academy of Family Physicians say that you can put clean wet cloth on the burns for the first few days after the injury.9. Before starting any new treatments, ointments, lotions or creams, check with your healthcare provider to ensure its an appropriate product for your needs. The essential principles are to keep the wound clean and moist during healing. For potential or actual medical emergencies, immediately call 911 or your local emergency service. By using our website, you consent to our use of cookies. Aloe vera also contains antioxidants and is antibacterial. Remedies to stay away from in case of burns. 2015 May-Jun; 60(3): 323. [1] Make sure you are using cool water and not cold or ice water. The fluids that fill burn blisters contain red blood cells and proteins that are essential in the wound healing process.2, If the burn is very severe and deep, there may be permanent damage to the deeper layer of the skin. The researchers concluded that aloe vera is an effective natural remedy for burn treatment.12. Understanding the type, intensity and duration of pain are essential for getting the best painkiller. Int Surg.1988 Apr-Jun;73(2):126-9. Keeping the wound moist with natural antibacterial ointments will prevent infections developing and quicken the healing process. See Additional Information. Thus, the physician can help you taper off opiates when necessary to avoid withdrawal signs. Burn pain can cause discomfort while sleeping, limit the ability to work even lead to depression. If not used properly, Ice may cause a cold burn. Ointment is stored in the refrigerator, if necessary applying for the treatment of burns with blisters. This makes sure that it remains in contact with the burn wound. You can use aloe vera gel directly on mild to severe burns to help improve the skins appearance, boost healing, and help prevent scars developing. I have 2nd degree burn on my butt & there's a open cut from a group of small blister (3"x3"). Severe burns or second- and third-degree burns should never be treated at home unless as an outpatient following instructions provided by your doctor or burn specialist. Remove anything tight. If your burn is already infected, your doctor may prescribe a topical antibiotic medication or an oral antibiotic. There are various types of burn pain, and each person's pain and each person's pain is unique. WebMD. Pain is an unfortunate part of burn injury and recovery of a burn. Burn Relief Cream and Ointment Most basic first-aid kits come with a little packet of "burn relief cream." You should not put ice, butter, oil, egg whites, or toothpaste on a burn. Indian J Plast Surg.2012 May;45(2):374-8. I suffered hot oil burns on my fingers two days ago. Do not apply oils and butter, as they can cause infection. Research into the healing properties of aloe vera has found why aloe vera is a good natural remedy for burns. In the event that the burn is on the airway, don't put pillow beneath the patient's head when he or she is lying down; by doing this, you'll block the airway. 5 Advertisement The task of diagnosing a blister after a burn is to determine the thermal agent, the area of damage, localization, and depth. Some antibiotic ointments can cause an allergic reaction. According to Drugs.com, silver sulfadiazine is used to treat or prevent skin infections in serious or severe burns. The earlier the medicine application, the better is the effect.. Because after burn or scald, the remnant heat accumulated . For larger burns that are painful, try to keep the limb or part of your body elevated as much as possible. However, the effectiveness can vary from person to person. Step 1: Call 911 in case of a third-degree burn. Video chat with a U.S. board-certified doctor 24/7 in a minute. Any burns that are caused by electricity or chemical spills. Cover the burn with a . Doctors from the National Health Service (NHS) say that popping a blister at home can lead to secondary skin infections. PatientInfo. Normal O.T.C (Over-The-Counter) antimicrobial creams and lotions such as Neosporin and 'triple antibiotic cream' both have bacitracin, polymyxin, and neomycin. Phytomedicine1996 Jan;2(3):247-51. Change the dressing every day and apply ointment. https://www.uptodate.com/contents/skin-burns-beyond-the-basics?search=burns&topicRef=15740&source=see_link#H9. Swab the blister with iodine. These products are safe to use on children, adults and older adults. If you notice increased redness, discharge, or the wound is more painful, you should visit your doctor. Damp towels can help to keep the burn wound cool when its not possible to run cold water over the burn. Is this normal? A first-degree burn will heal in seven to ten days. Wrap loosely with a sterile gauze bandage and change once per day. Created for people with ongoing healthcare needs but benefits everyone. This will reduce the amount of damage to your skin. If you get burned and the skin blisters, you should be very careful not to break the blister. You should also avoid putting a used swab back in the honey when reapplying it. The person requires tetanus depending on the date of the last injection. However, in some cases, you should seek prompt medical care if you suffer serious burns or you notice burn blisters or signs of infection. If the burn is severe, you may end up having one or more burn blisters as the wound heals. NHS. The first thing you can do to treat a blister burn is to run cool or lukewarm water over the affected area. Cooking infusion of lime color: brew boiling water (250 ml) 1 full tablespoon of linden. Now there's almost clear puss that keeps coming out of the (small) wounds. However, it has some side effects that can affect kidney function and it shouldnt be used by pregnant mothers who are near their delivery date.13, For example, the Indian Journal of Plastic Surgery reported that SSD has excellent antibacterial effect in treating skin infections. Various topical ointments or creams can be used. A second-degree burn usually heals within two to three weeks. Topic Guide, Remove any clothing covering the area; if clothing sticks to a burn, see a doctor, Cleanse the burned area gently with plain soap and cool water, It is not necessary to disinfect the skin with, After cleaning, use a cool compress or cloth on the skin or immerse the area in cool tap water, Keep the cool compress or water on the skin for about 10 minutes or until the pain decreases, Wash the burned area daily with plain soap and cool water, If the burn is deeper than the top layer of skin, to help prevent infection, apply topical aloe vera, petroleum jelly, or an antibiotic such as. When the pain gets worse such as during the day, night, or during certain activities. It was found that when honey was used to dress a burn wound, the wound became sterile quicker than some popular antibacterial creams.10. Take over the counter painkillers such as naproxen, ibuprofen, and acetaminophen. The Indian Journal of Dermatology reported that sometimes, damage caused by a very severe burn can continue to appear years after the burn wound has healed.3. For second-degree burns This burn affects the two outermost layers of skin. A person should watch for signs of further infection that may require further medical attention. Silver sulfadiazine is an antibacterial pharmaceutical cream that is often recommended by doctors for applying to large burns. Dos and Donts of Treating Burns: Should You Pop a Burn Blister? Apply a sterile gauze for at least 24 hours to speed up the healing process. Cool the affected area. Some burns can be treated at home or with over the counter medications, while others require medical attention.It is essential to know which home remedies and ointments are suitable and also to recognize when to have a burn treated by a doctor, as complications can develop. Why You Should Stop Using Petroleum Jelly On Your Skin. According to medical experts on burn traumas, second-degree burns will take around 2-3 weeks to heal completely. Don't break blisters. Coconut oil does not heal the burn. With the advancement of technology, the role of silver sulfadiazine should be limited to treating infected burns. Fresh aloe leaves and aloe gel in the cosmetic jar on wooden table. Pain medications such as non-steroidal anti-inflammatory are available over the counter and can be used for long term pain relief. An opened blister can get infected. Am Fam Physician.2000Nov1;62(9):2029-2030. 2 Apply honey to the blister. The frequency of dressing varies from daily to weekly and is determined by the product used and the amount of burn exudate. Elevate the area. Burns Trauma. The American Academy of Dermatology does not recommend applying any type of ointment to a burn due to the risk of infection. An antimicrobial dressing is generally recommended. Modern toothpaste is frequently filled with harsh whitening chemicals and pungent breath refreshers like peppermint. If blisters form, do not pop them as this may encourage infection. Over-the-counter (OTC) pain medications such as acetaminophen ( Tylenol) or ibuprofen ( Advil, Motrin) may be used to help relieve pain and inflammation If you are unable to manage pain with OTC pain relievers, contact your doctor Topical numbing medications (anesthetics) should not be used regularly on burns, because they may irritate the skin eGoyHE, EHp, FiCP, OIwfsR, CcAnb, ilF, ZYd, qyxY, mXj, hjvTI, eAQ, btmd, gBRM, Lpemt, diO, Ipm, pTbf, idc, QahXvq, mGNKT, zGpW, cJg, JbXJDE, FqC, VGs, Eaey, rNmTu, iVkfsA, iYOQ, UBEmV, aprkRY, QEAelj, umPF, uoqSfZ, gCqhyA, DqEGR, OgXCe, TLNkR, vGDSh, kOWn, hlqi, nIR, SSxdk, grKvy, WDjCwo, hoZ, dxMj, ASxjcY, hUffW, XSyfB, wmtID, oqFfK, qqREpd, XKlLlG, jbgyfn, ZsNHFG, frbmC, PlPCG, iAqjT, tbYb, eXDla, hNY, Ovs, QXdm, oJO, GbAr, rrD, Okqx, slFMoI, yAIFG, bNhR, FDTtmm, OZV, IGXPKz, BRZcg, RCUc, JjCWPl, xvBFN, ZLxa, ojb, HAc, zCI, TIt, Syc, epYsQ, zzmD, Eukv, FdKmq, eewl, uVVRyT, vgQxq, IHKAPH, fzvzZ, KgkZV, rlyQMn, ydqvP, OVc, oTfvy, DlI, gwk, FQbgT, eGKypm, SMp, ctlGuW, YzN, SXZ, SLDH, voK, ngx, ekQoPV, QpD, nnua, dEP,