Treatment For Superficial Second Degree Burns of BRT with MEBT/MEBO

According to the pathogenic process of superficial sec- ond-degree burns, the treatment can be carried out in two stages.

First Stage.  Treatment in the early stage – the period from  emergency treatment postburn to the end  of shock period (within 3–4  days  after  injury). The  clinical  signs in  this  stage  include pain,  edema, blisters, and  a great amount of blood  plasma exudated from  the  site  where blister  skin exfoliates. According to the principle of BRT with  MEBT/MEBO, apply  MEBO  directly all  over  the wound, puncture the blister  (if present) on the lower part to discharge liquid. Do not remove the blister skin, direct- ly apply MEBO  on the blister  skin 3–4 times  daily. With the application of MEBO,  a layer of thin  soft membrane forms upon  the wound  free of blister  skin, the membrane still allows the exudates to ooze through, and then it grad- ually thickens. Do not remove the soft membrane, since it can substitute the skin role of fulfilling breathing and pro- tection. Continue MEBO application directed by BRT.

Second  Stage.  It is the  wound-repairing period when the shock stage ends and the residual viable epidermis tis- sue begins  to regenerate and  recover, usually  lasting  3–4 days. In this period, the basal cells in the epidermis recov- er to form a granular layer and thus promote wound  heal- ing.  In  clinical  treatment of  BRT  with  MEBT/MEBO, after  the edema period, the blister  skin loosens  and  exfo- liates, and the thin soft membrane formed on the wounds also loosens and exfoliates. Simply cleaning away the blis- ter skin and soft membrane is first desired, then continue the   application  of  MEBO   to  protect  the   regenerated wounds till healing.  During the whole treatment, neither pain  nor further injury  to wounds is allowed.  The correct application method helps the wounds heal without caus- ing any infection, pain, scar formation or hyperpigmenta- tion. Generally, superficial second-degree wounds treated with  BRT  with  MEBT/MEBO heal within 6–8 days and the  skin  recovers completely to its normal physiological status  within 3 months.



Methods:

Apply MEBO directly on wounds in 4 hours postburn. The thickness of medicine should not be thicker than 1mm and redress the wounds eveiy 4-6 hours. Clean residues on wounds and exudates with disinfectant gauze before redressing each time. Generally, wounds will heal in 6-7 days. 

For wounds with blisters, release water in blisters at low position and do not remove the blister skin. Remove the blister skin 3-4 days postburn and continue applying MEBO. Seven days later, wounds wound heal.


1. Apply MEBO with thickness   less   than 1 mm. 

Release water in blisters at low position and do not remove the blister skin.

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2. Three to four days later, remove the blister skin and apply MEBO immediately. 

Smear MEBO along the direction of fine hair gently to relieve stimulations.

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3. Four to six hours after applying MEBO, a layer of white liquefied exudates was formed. It is a normal phenomenon of excreting necrotic skin tissues.

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4. Clean the liquefied products with no injury. Redress MEBO without pains, bleeding or damage to live tissues on wounds.

mebt mebo superficial second degree burn

5. Alternatively, use disinfected gauze to absorb liquefied products for 30 seconds or 1 minute.

mebt mebo superficial second degree burn

6. Disclose gauze tangential direction

mebt mebo superficial second degree burn

7. Clean the liquefied products completely.

mebt mebo superficial second degree burn

8. Smear MEBO evenly on wounds. The thickness is less than 1 mm.

mebt mebo superficial second degree burn

9. Seven days later, wounds would heal. Apply MEBO as a protective ointment for 7-10 days so as to restore normal skin function.

mebt mebo superficial second degree burn