Deep Second Degree Superficial(DIIS) Burns Wounds
signs include wound pain, extensive
wound without blister skin becoming red and white, the
dermal tissue is necrotic and turns white, the surviving deep dermis
tissue is red, while under pressure it turns white and soon returns to
red after release of pressure (DIID burns wounds respond more
The exu-dates of the wounds are only less than
those of superficial second-degree burns.
BRT with MEBT/MEBO treatment and clinical
manifestation: It is a four-period process:
- firstly, treatment in the early stage (shock
period), same as that for superficial second-degree burns;
- secondly, liquefaction and rejection period of
necrotic dermal tissue (rejection period);
- thirdly, regeneration and recovery period,
- fourthly, rehabilitation period of skin
physiological function after wound healing.
The treatment of the first period is the same as
superficial second-degree burns, emphasizing on wound protection. A
thin layer of soft membrane may appear on the wound free of putrid or
blistered skin. The next treatment period starts on day 4–5
post-burn when the wound edema diminishes gradually.
Clean away the putrid skin, blistered skin or thin
membrane in the same way as dealing with superficial second-degree
burns. Continue the application of MEBO. Gradually, the necrotic layer
of wound surface begins to liquefy from the superficies to the interior
and produces white liquefied products floating over the wound
Usually at 3–4 h after application of
MEBO, the wound is totally
covered with whitish liquefied products, indicating that MEBO is
The liquefaction products must be cleaned away
before the renewal of MEBO. Another 3–4 h later, the renewed
is consumed again when the liquefaction products float over the
Clean the liquefaction products, renew MEBO again
and keep the
clean-renew-clean process going until the necrotic tissues are entirely
liquefied and discharged. This process generally occurs 5– 15
days postburn. Patients with large-area burns are urged to turn over
during drug renewal.
After the second period treatment, the
residual dermis tissues, millet-sized, are exposed on the basal layer
of the wound. Continue MEBO with less thickness directed under BRT with
MEBT/ MEBO and renew every 4–5 h (every 6–8 h at
Covered and protected by MEBO, the residual dermal tissue reconstructs
and regenerates. Once dermis tissue regenerates to smooth skin, less
irritation to the wound is allowed. Again reduce dosage and renewing
times as long as the wound is not dry, but crust formation is
forbidden, i.e. not only prevent wounds from being macerated by MEBO,
but also avoid the wounds becoming dry and getting covered by a crust.
Duly keep the normal skin around the wound clean. For large-area burn
patients, do as in the second period by helping them turn over
regularly on the basis of drug change intervals. The pressured parts of
the body still need MEBO protection till the wounds heal. This period
occurs 15–20 days postburn.
Although the wound heals after the third stage,
functions of the newly healed skin still need to rehabilitate
completely. The epidermis requires further physiological adjustment and
metabolism; the sebaceous glands need compensatory metabolism; the
excretory duct of the sweat gland is not yet clear; the functions of
pigment cells are unable to meet the requirements of normal skin. Under
these circumstances, MEBO is still necessary to be used as a skin-care
oil for another 10–15 days. Or apply newly developed MEBO
products – MEBO Cleansing Cream to promote quicker recovery
skin function, or apply MEBO Itch Relieving Cream to stop itching.
Second Degree Superficial Burns Clinical signs include
wound pain, extensive blisters, skin at the wound without blister skin
becoming red and white, necrotic or white superficial dermal tissue,
and red survival deep dermis tissue.
A thin layer of soft membrane may appear on the
Reserve the layer of membrane and continue
applying MEBO every 4-5 hours evey day.
Five days later, clean the membrane and redress
complying with the principle of "Three
cause pain, Don't cause bleeding and Don't cause any further damage in
the normal skin tissue)
The necrotic tissues are all liquefied and
discharged from wounds 10-15 days postburn.
20 days later, wounds regenerate and repair to
applying MEBO for 10-15 days as protective
skin functions are restored to normal.
1. On 1st day postburn wounds are
superficial II degree burns mixed with deep II degree burns. There are
blisters in different sizes.
Release water in blister and retain blister skin.
2. Apply MEBO directly and protect wounds.
3. On the 3rd day postburn, apply MEBO on wounds. Edema fade away and a
layer of soft membrane forms on
4. On 4th day postburn, superficial II degree burns gradually heal.
Necrotic tissues are liquefied on deep II degree superficial type
Redress MEBO every 4 hours (6-8 hours at night) and remove the soft
5. On 8th day postburn, deep II degree superficial wounds continue
Clean the liquefied products and necrotic skin complying with the
principle of "Three No"
before redressing MEBO.
6. On 12th day postburn, necrotic tissues are liquefied and discharged.
Under protection of fabric isolating membrane, wounds are repaired to
7. On 15th day postburn, most wounds are repaired to heal.
8. On 25th day postburn, all wounds heal.
using MEBO as protective ointment for 10-15 days until
skin functions are restored.