Guidelines for burn patient referral

	Immediate consultation with consideration for transfer	Consultation recommendation
Thermal burns	Full thickness burns Partial thickness ≥10% TBSA^* Any deep partial or full thickness burns involving the face, hands, genitalia, feet, perineum, or over any joints Patients with burns and other comorbidities Patients with concomitant traumatic injuries Poorly controlled pain	Partial thickness burns <10% TBSA^* All potentially deep burns of any size
Inhalational injury	All patients with suspected inhalation injury	Patients with signs of potential inhalation such as facial flash burns, singed facial hairs, or smoke exposure
Pediatrics (≤14 years, or <30 kg)	All pediatric burns may benefit from burn center referral due to pain, dressing change needs, rehabilitation, patient/caregiver needs, or non-accidental trauma
Chemical injuries	All chemical injuries
Electrical injuries	All high voltage (≥1000V) electrical injuries Lightning injury	Low voltage (<1000V) electrical injuries should receive consultation and consideration for follow-up in a burn center to screen for delayed symptom onset and vision problems

These guidelines are designed to be used to aid in clinical decision making and are not meant to be definitive care recommendations. Local and regional infrastructure, resources, and relationships may determine the necessity and timeliness of burn center referral.

TBSA: total body surface area; V: volt.

* Refer to UpToDate content to determine percentage TBSA.

Reproduced from: Guidelines for Burn Patient Referral. American Burn Association 2022. Copyright © 2022 American Burn Association. https://ameriburn.org/resources/burnreferral/ (Accessed on July 11, 2024). Image provided with permission from the American Burn Association. All rights reserved.

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Guidelines for burn patient referral