1   Keep the patient in a horizontal supine position with slight elevation of the head. Turning over is contraindi-cated. Expectant administration.

2   Application of any topical drug that may be harmful or irritative to burns wounds is contraindicated. Adopt measures to relieve pain and protect burns wounds as soon as possible.

3   Avoid changes of patient body temperature which consume vital energy striving instead to keep the patient warm as much as possible.

4   If appropriate and well-tolerated, cardiotonic and sedative medications may be given through intramuscular injection or intravenous infusion.

5   If the wound is deemed appropriate for treatment with BRT with MEBT/MEBO, smear MEBO directly onto the wound. Once the wound is thus protected, cover the wound with adequate dressing and transfer the patient immediately to the nearest hospital for further treatment.