Extensive burns patients must be treated continually with nutritional support from the transition from shock stage until full rehabilitation. 

The principles of nutritional support treatment with BRT (MEBT/MEBO) are basically the same as the principle of supporting treatment of traumatic surgery. 

However, the supplementary amounts of total energy and protein for the former are significantly higher and of longer duration as compared with that of general traumatic patients.

In clinical practice, we recommend nutritional support from the 4th to the 8th day after injury since protein is constantly required for repair and rehabilitation. 

After the shock stage, it is optimal to take food by mouth as soon as possible as nutrition supply through the digestive tract is encouraged. 

The principles of treatment are as follows:

1   Daily caloric requirement of burned patient (kcal) = 24 (kcal/kg) x body weight (kg) + 40 (kcal) x TBSA%.

2   Glucose should provide between 55 and 60% of the total calories, fat between 20 and 30%, and protein between 15 and 20%.

3   The ratio of nitrogen to calorie should be 1:150–200. In addition to the above supplementation, burned patients should take protein-rich foods and vegetables as liberally as possible.