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  • LSEBN Burns Referral Criteria

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    Ana Tataranu
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    This document provides referral guidelines for burns, listing criteria for when burns patients should be discussed with or referred to a local burn service. The criteria include burns involving inhalation injury, deep dermal or full thickness burns, electrical or chemical burns, burns affecting certain areas like the face or hands, circumferential burns, and burns over 1% TBSA in children or 3% TBSA in adults. Other referral criteria include burns in neonates, wounds not healed after 2 weeks, infected wounds, suspected non-accidental injury, and patients with significant comorbidities or immunocompromised. The document also lists signs of potential medical emergency in burns patients like toxic shock syndrome.

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    This document provides referral guidelines for burns, listing criteria for when burns patients should be discussed with or referred to a local burn service. The criteria include burns involving inhalation injury, deep dermal or full thickness burns, electrical or chemical burns, burns affecting certain areas like the face or hands, circumferential burns, and burns over 1% TBSA in children or 3% TBSA in adults. Other referral criteria include burns in neonates, wounds not healed after 2 weeks, infected wounds, suspected non-accidental injury, and patients with significant comorbidities or immunocompromised. The document also lists signs of potential medical emergency in burns patients like toxic shock syndrome.

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    © All Rights Reserved
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    11 views1 page

    LSEBN Burns Referral Criteria

    Uploaded by

    Ana Tataranu
    This document provides referral guidelines for burns, listing criteria for when burns patients should be discussed with or referred to a local burn service. The criteria include burns involving inhalation injury, deep dermal or full thickness burns, electrical or chemical burns, burns affecting certain areas like the face or hands, circumferential burns, and burns over 1% TBSA in children or 3% TBSA in adults. Other referral criteria include burns in neonates, wounds not healed after 2 weeks, infected wounds, suspected non-accidental injury, and patients with significant comorbidities or immunocompromised. The document also lists signs of potential medical emergency in burns patients like toxic shock syndrome.

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    © All Rights Reserved
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    LSEBN

    SEBN
    CONTACT DETAILS

    LSEBN
    www.trips.nhs.uk

    St Andrews Burns Service

    Burn Referral Guidelines: Broomfield Hospital (Chelmsford)


    Adults/Children 01245 516037

    Criteria for Referral Chelsea & Westminster Hospital (London)


    Adults 02033152500
    Children 02033153706
    Adults and children with the following injuries should
    be discussed with the local Burn Service Queen Victoria Hospital (East Grinstead)
    Adults 01342 414440
    • Inhalation injury Children 01342 414469
    • Deep dermal and full thickness
    Cause • Electrical Stoke Mandeville Hospital (Aylesbury)
    • Chemical Adults and Children 01296 315040
    • Burns with trauma

    • Face, hands, genitals, feet, joints, scalp, ears


    Affected Area • Circumferential

    • >1% Total Body Surface Area [TBSA] in children


    Size • >3% TBSA in adults

    Age • Neonates (<28 days old)

    • Not healed within 2 weeks


    Wound • Infected

    • Suspected non accidental injury, mental health history or self-harm


    • Progressive non burn skin loss conditions (TENS, SSSS, Necrotising Fasciitis)
    • Significant co-morbidity (eg diabetes) or immunocompromised patients
    DISCUSS • Friction burns with full thickness skin loss
    • Cold burns with full thickness skin loss
    • Older people (60+)
    • Children “unwell” with a burn (see below) *
    • Any other case that causes concern
    * Toxic Shock Syndrome /Burns Sepsis Syndrome
    Seek early advice from local Burn Service
    Consider
    treating with fluid resuscitation, IV antibiotics +/- FFP

    • Temperature > 38°C


    MEDICAL EMERGENCY • Rash
    • Diarrhoea and vomiting
    Any patient • General malaise
    Any size burn • Not eating or drinking
    Any of these symptoms • Tachycardia/tachypnoea
    = • Hypotension
    Risk of Toxic Shock Syndrome • Reduced urine output

    If in doubt, seek early advice from local Burn Service


    Telephone support and advice on initial care of any patient with a burn injury is available at all times
    Approved by LSEBN CGG on December 2015

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