1. 2.2.16. How to perform the method for eschar-type burn (Third Degree Burn)?
    • 2010/10/25 15:01:55
    The third degree burn is the most severe one among all the burns. Since the full-thickness skin is injured and necrotized into eschar, the temperature on the wound surface is lower than body
    Temperature: The wound feels cold with leather-like change but without pain. It can be subdivided into superficial third degree (part of subcutaneous fat still alive) and deep third degree (full-thickness subcutaneous fat necrotizes) with injury reaching fascia, muscle or bone.
    Generally, third degree burn should be treated by specialist in hospital. A simple method to identify the depth of third degree burn is to observe the wound. Wound without thrombus-built arborescent vescular net under the eschar is superficial third degree burn wound. Other wise, the wound is deep third degree burn wound. For superficial third degree burn wound, apply MEBO after eschar excision in thin thickness (no bleeding) or cut the eschar wound in length and breadth with ploughing saw blade (cut depth and distance in 1 mm). By the limit of no pain during the treatment, the burn wound is not third degree if there is any pain. Apply MEBO instantly after cutting to promote infiltration and absoption of MEBO and relieve compression on the deep layer of burn wound caused by tensile contraction of eschar to relieve obstruction of block zone and wound injury. It is the most effective if the wound is performed within 12 hours after injury. Ploughing decompression is successful if there is secretion on the wound after 24 hours. Continue to apply MEBO and redress 4 to 5 hourly. Clear secretion and necrosis from the wound every time before application and make sure the wound without three residue (no residual secretion, no residual necrosis and no residual excessive MEBO) according to the three no principle. With that method, the time of discharge of necrotic layer on the wound could be shortened superficial third degree burn wound could heal by self regeneration and respiration instead of transplantation with superficial scar or even no scar. When the domestic condition is limited, the large area third degree burn patient should be sent to special hospital for hospitalization treatment.