Safety

ABA burn referral criteria

Emergency Management Alert, February 6, 2007

ABA burn referral criteria

Here are referral criteria from the American Burn Association. Patients with the following should be referred to a specialized burn facility after initial assessment and stabilization at the ED:

  • Second and third degree burns of more than 10% TBSA in patients under 10 or over 50
  • Second and third degree burns of more than 20% TBSA in all other age groups
  • Second and third degree burns with serious threat of functional or cosmetic impairment that involve face, hands, feet, genitalia, perineum, and major joints
  • Third degree burns of more than 5% TBSA in any age group
  • Electrical burns (including injury from lightning)
  • Chemical burns with serious threat of functional or cosmetic impairment
  • Inhalation injury
  • Circumferential burns of an extremity and/or chest
  • Burned children should be transferred to a hospital with qualified personnel and equipment
  • Burns with patterns that are suspected results of abuse

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