Burn Criteria
Base Contact required for a destination
BURN CARE / TREATMENT:
< 10% BSA: cool with saline soaks
> 10% BSA: cool with saline soaks 10 min. max, cover with dry dressing,
cover w/ blanket
MEDICATIONS:
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Albuterol for wheezing or bronchospasm
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Morphine for pain
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Fentanyl for pain
Triage to Burn Center (UCI or OC Global):
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MOI
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Suspected inhalation injury (burned in small confined space, facial burns, hoarseness, dyspnea, soot in mouth, carbonaceous sputum, singed nasal hairs)
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High voltage/electric burns (including lightning injury)
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Chemical burns
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Burns involving face, hands, feet, genitalia, perineum, major joints
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Circumferential burns
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Major pre-existing medical conditions (e.g. diabetes, renal failure, cardiac or pulmonary disease)
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2nd Degree burns > 10% BSA in any age group
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3rd Degree burns = Any 3rd Degree burn
SPECIAL NOTES:
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Estimating burn surface %: Patient’s palm size = 1% burn
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Chemical burns: Brush away any remaining dry chemical, irrigate burn wound and surrounding skin with copious and continuous water/saline to dilute and mechanically remove as much residual chemical as possible.
NOTE:
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Some chemicals are activated by water/fluids and might worsen burn or create hazardous fumes (e.g. sodium phosphorus, acetyl bromide, aluminum carbide, silicon tetrachloride).
