1. 2.2.15. How to treat burn correctly at home by clinical manifestation of burn wound?
    • 2010/10/25 15:01:26
    Measure of diagnosis and estimation of burn depth has been introduced before, but how to estimate the depth of burn and treat it in daily life. A simple method could be applied. Three types of burn could be observed at early stage of burn: erythema, blister and eschar as will be described respectively in the following pieces.
    1 Erythema type of burn (first degree burn): After hot water is poured on the skin surface or long-term insolation at seashore, redness, congestion, lanugo erection, pain, saitivity, aggravated pain after touch will occur in local exposed part, which are the symptoms of injured superficial skin. Pain can be eliminated after three days application of MEBO three times a day.
    2 Blister type of burn (second degree burn): Large blisters with thin walls and clear fluid on the wound and the pink basemnet of wound after removing walls can be diagnosed as superficial second degree burn, i.e. injury in deep layer of epidermis with obvious pain on the wound and high temperature in local part. After the immediate application on the wound, drain the fluid from blisters by scissors cutting or by injector while maintaining the walls. Clear the remaining ointment and secreation on the wound with disinfectant tissue or gauze before application of MEBO every 4 to5 hours a day. Remove the blister walls after 3 to 4 days and protect the wound with MEBO immediately and redress 3 times a day in former method. Wound can heal after 7 days treatment and continue applying MEBO as skin protective oil for 7 to 10 days.
    If burn wound is observed with thick-walled small blisters or blisters in unequal sizes and white-mixed-with-red wound base after removal of blister walls, it can be diagnosed as deep second degree burn with injury to dermis. After applying MEBO as former method, drain the fluid from blisters by scissors cutting while maintaining the walls and redress 4 to 5 hourly. The necrotic layer is thicker and begins to liquefy and be discharged after 6 days. Clear the liquefied necrosis and apply MEBO in time to maintain the wound moist, avoiding wound drying and scar formation. Wound can heal after 22 to 25 days treatment and continue applying MEBO as skin protective oil for 15 to 30 days to protect healed skin and relieve scar formation.
    3 Eschar type of burn: If there is no blister, no secretion and no pain on the wound with dry and leather-like necrotic epidermal tissue (Candle white and leather-like change of wound in scald patient, and brown and carbonized wound in burn patient), the injury is diagnosed as third degree burn, which is difficult for patient to treat domestically. After the wound is applied with stand-by MEBO and dressed with gauze, patient should be sent to special hospital with MEBT for treatment. The method for treating eschar-type burn will be described in detail in following piece.