Guidelines for Burn Patient Referral

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These guidelines are designed to be used to aid in clinical
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decision-making. If you have sustained a burn injury, please
seek medical advice from a medical professional.
Local and regional infrastructure, resources, and
relationships may determine the necessity and timeliness
of burn center referral.
These guidelines are not meant to be definitive care
recommendations. They may facilitate building the proper
referral network within the local healthcare community.

Burn Severity Determination

SUPERFICIAL

Dry, red, easily blanching,

sometimes painful
Example: Sunburn
NOT counted in calculations of
total burn surface area (TBSA)

SUPERFICIAL PARTIAL THICKNESS

Moist, red, blanching, blisters,

very painful
Counted in calculations of total
burn surface area (TBSA)

DEEP PARTIAL THICKNESS

Drier, more pale, less blanching,

less pain
Counted in calculations of total
burn surface area (TBSA)

FULL THICKNESS

Dry, leathery texture, variable

color (white, brown, black), loss of
pin prick sensation
Counted in calculations of total
burn surface area (TBSA)

Percentage Total Body Surface Area

(TBSA)
“RULE OF NINES” “PALMAR METHOD”

Copyright© 2022 American Burn Association. The

downloadable PDF of the ABA Guidelines for Burn Patient
Referral may be distributed in its original form, in its entirety,
without permission provided that attribution is given to the
American Burn Association. All requests to edit, repurpose, or
reprint require permission by
emailing abacentraloffice@ameriburn.org with the details of
the request.

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The American Burn Association Web site contains general information for burn care professionals and is not intended to be a substitute for
professional medical advice or consultations with healthcare professionals. The ABA is unable to respond to requests regarding personal medical
concerns related to burn injuries. Your physician is the best source for information related to initial treatment, ongoing care, and follow-up for all health
issues. If you do not have a physician, please contact the physician referral service at your local burn center or hospital. © 2022 American Burn
Association. All rights reserved.

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