{
  "schema_version": 1,
  "kind": "condition",
  "id": "minor-burn",
  "name": "Minor Burn (superficial, outpatient)",
  "category": "acute",
  "sources": "ISBI Guidelines for Burn Care 2016 · NICE Clinical Knowledge Summaries: Burns and scalds 2021 · Egyptian National Drug Formulary 2026 · MSF Essential Drugs 2024 - paracetamol (oral) · No labelled dose - a procedure, not a medicine",
  "review_status": "reviewed",
  "verified_against": "No labelled dose - a procedure, not a medicine · Egyptian National Drug Formulary 2026 · MSF Essential Drugs 2024 - paracetamol (oral) · Minor Burn (superficial, outpatient) - disease-level clinical article (minor-burn-clinical.txt)",
  "verified_date": "2026-08",
  "treatments": [
    {
      "id": 1167,
      "generic": "Cooling, Cleansing, and Dressing",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": "Immediately cool burn with cool running tap water (10-20°C) for 20 minutes (within 3 hours of injury). Gently cleanse with mild soap or sterile saline, leave small intact blisters unruptured, apply sterile non-adherent dressing.",
      "adult_duration": "First-aid immediately; change dressing every 2-3 days until healed (7-14 days)",
      "dose_source": "No labelled dose - a procedure, not a medicine",
      "rationale": "Immediate tap water cooling for 20 minutes limits thermal tissue necrosis, reduces pain, and speeds wound healing; essential first-line intervention",
      "cautions": [
        "Do NOT apply ice, ice water, butter, toothpaste, or home remedies; ice induces microvascular vasoconstriction and worsens tissue necrosis.",
        "Refer urgently to a burn center if burn involves face, hands, feet, perineum, major joints, circumferential burns, chemical/electrical injuries, or >10% total body surface area (TBSA) in adults (>5% in children)."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Cool burn with cool running tap water for 20 minutes. Keep child warm during and after cooling to prevent hypothermia, especially in infants.",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "minor-burn"
    },
    {
      "id": 1170,
      "generic": "Referral & safety-netting (no drug therapy)",
      "line": 1,
      "is_adjunct": false,
      "form": null,
      "strength_mg": null,
      "adult_dose": null,
      "adult_duration": null,
      "dose_source": "Minor Burn (superficial, outpatient) - disease-level clinical article (minor-burn-clinical.txt)",
      "rationale": "Carries the referral criteria and warning signs for this condition, which apply whichever treatment is chosen.",
      "cautions": [
        "RED FLAG - Referral criteria: moderate burns require a hospital setting and severe burns require a burn center."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": null,
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [],
      "condition_id": "minor-burn"
    },
    {
      "id": 1168,
      "generic": "Beta-sitosterol",
      "line": 1,
      "is_adjunct": true,
      "form": "topical",
      "strength_mg": null,
      "adult_dose": "Apply a thin layer (approx 1 mm) of 0.25% ointment to burn wound every 4-6 hours; maintain moist wound environment",
      "adult_duration": "7-14 days until re-epithelialization",
      "dose_source": "Egyptian National Drug Formulary 2026",
      "rationale": "Standard moist exposed burn ointment widely prescribed and registered in Egypt (MEBO 0.25% ointment) for superficial partial-thickness burns",
      "cautions": [
        "Contains sesame oil base; use caution in patients with known sesame allergy.",
        "Gently cleanse residual ointment before re-application to prevent accumulation of wound exudates."
      ],
      "peds_mgkg_low": null,
      "peds_mgkg_high": null,
      "peds_max_mg": null,
      "peds_basis": null,
      "peds_unit": null,
      "peds_note": "Apply a thin layer to clean burn area 3-4 times daily in infants and children",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": null,
      "brands": [
        {
          "trade_name": "FEATHERLITE 0.25% CREAM 30 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SPECTRA PHARMA",
          "price_egp": 35.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 30000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "FEATHERLITE 0.25% OINT. 30 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "SPECTRA PHARMA",
          "price_egp": 45.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 30000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "PENTABURN 0.25% TOP. OINT. 15 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EVA PHARMA > PENTA PHARMA",
          "price_egp": 64.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "BURNASORES 0.25% OINT. 15 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "GLOBAL NAPI PHARMACEUTICALS",
          "price_egp": 110.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 15000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MEBO 0.25% HERBAL AND NATURAL OINT. 75 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "JULPHAR",
          "price_egp": 145.5,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 75000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "BURNASORES 0.25% OINT. 30 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "GLOBAL NAPI PHARMACEUTICALS",
          "price_egp": 150.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 30000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MELO OINT. 30 GM",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MELANO PHARMA",
          "price_egp": 80.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 30000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "MIBOCOUCHE 30 GM OINTMENT",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "UNITED GROUP > RIVA EGY CARE",
          "price_egp": 109.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 30000.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "minor-burn"
    },
    {
      "id": 1169,
      "generic": "Paracetamol",
      "line": 1,
      "is_adjunct": true,
      "form": "oral.solid",
      "strength_mg": 500.0,
      "adult_dose": "500-1000 mg orally three or four times a day PRN for burn wound pain (max 4000 mg/day)",
      "adult_duration": "3-7 days PRN",
      "dose_source": "MSF Essential Drugs 2024 - paracetamol (oral)",
      "rationale": "Simple analgesic added to burn wound care and dressings, not a treatment for the burn itself; controls the pain of a mild superficial burn.",
      "cautions": [
        "Paracetamol is the first-line oral analgesic for mild-to-moderate burn pain relief.",
        "Do not exceed maximum daily recommended dosage (4 g/day in adults) to avoid liver injury.",
        "500 mg is the per-dose ceiling used here for a child. 1000 mg is the adult dose and does not belong in a weight calculation - the daily 60 mg/kg limit is the one that binds first in any case."
      ],
      "peds_mgkg_low": 10.0,
      "peds_mgkg_high": 15.0,
      "peds_max_mg": 500.0,
      "peds_basis": "dose",
      "peds_unit": "mg",
      "peds_note": "Every 4-6 hours PRN (max 60 mg/kg/day) Under 1 month: 10 mg/kg 3 or 4 times daily, maximum 40 mg/kg/day (MSF Essential Drugs 2024).",
      "peds_min_weight_kg": null,
      "peds_max_weight_kg": null,
      "peds_age_min_months": null,
      "peds_age_max_months": null,
      "peds_age_bands": null,
      "peds_doses": [
        {
          "weight_kg": 10,
          "low_mg": 100,
          "high_mg": 150,
          "capped": false
        },
        {
          "weight_kg": 20,
          "low_mg": 200,
          "high_mg": 300,
          "capped": false
        },
        {
          "weight_kg": 30,
          "low_mg": 300,
          "high_mg": 450,
          "capped": false
        },
        {
          "weight_kg": 40,
          "low_mg": 400,
          "high_mg": 500,
          "capped": true
        }
      ],
      "brands": [
        {
          "trade_name": "FEBRIMOL 500 MG 20 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHARCO",
          "price_egp": 3.5,
          "pack_count": 20,
          "unit_price": 0.17,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CETAMOL 500 MG 20 TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MEMPHIS",
          "price_egp": 8.0,
          "pack_count": 20,
          "unit_price": 0.4,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "PARACETAMOL-MUP 500MG B.P. 20 TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MUP",
          "price_egp": 13.0,
          "pack_count": 20,
          "unit_price": 0.65,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "CETAL 500 MG 20 TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "EIPICO",
          "price_egp": 24.0,
          "pack_count": 20,
          "unit_price": 1.2,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ARKADOLOW 500 MG 30 F.C. TABS.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "UTOPIA",
          "price_egp": 42.0,
          "pack_count": 30,
          "unit_price": 1.4,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "PARAMOL 500MG 20 TAB.",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "MISR",
          "price_egp": 38.0,
          "pack_count": 20,
          "unit_price": 1.9,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "ADOL 500MG 24 CAPLETS",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "JULPHAR",
          "price_egp": 32.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "AUGICETAMIDE 500 MG 20 SACHETS",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "AUG PHARMA",
          "price_egp": 50.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 500.0,
          "exact_strength": true,
          "exact_form": true,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "FEBRIMOL ORAL DROPS 20 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHARCO",
          "price_egp": 4.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": null,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        },
        {
          "trade_name": "THERA-LO 3.2G/100ML ORAL SUSP. 100 ML",
          "scientific_name": null,
          "normalized_ingredient": null,
          "manufacturer": "PHAROPHARMA",
          "price_egp": 5.0,
          "pack_count": null,
          "unit_price": null,
          "strength_mg": 3200.0,
          "exact_strength": false,
          "exact_form": false,
          "discontinued": false,
          "also_contains": null
        }
      ],
      "condition_id": "minor-burn"
    }
  ]
}