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Burn center referral criteria*

Burn center referral criteria*
Partial-thickness burns greater than 10% of TBSA
Burns that involve the face, hands, feet, genitalia, perineum, or major joints
Third-degree burns in any age group
Electrical burns, including lightning injury
Chemical burns
Inhalation injury
Burn injury in patients with preexisting medical disorders that could complicate management, prolong recovery, or affect mortality
Any patient with burns and concomitant trauma (such as fractures) in which the burn injury poses the greatest risk for morbidity or mortality. In such cases, if the trauma poses the greater immediate risk, the patient may be stabilized initially in a trauma center before being transferred to a burn unit. Physician judgment will be necessary in such situations and should be in concert with the regional medical control plan and triage protocols.
Burned children in hospitals without qualified personnel or equipment for the care of children
Burn injury in patients who will require special social, emotional, or rehabilitative intervention
TBSA: total body surface area.
* A burn center may treat adults, children, or both. Burn injuries that should be referred to a burn center include any of the criteria listed.
Copyright © American Burn Association. Advanced Burn Life Support Provider Manual. Chicago. 2011. 25-27. Print.
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