Fast Five Quiz: Are You Prepared to Confront Firework-Related Injuries?

Richard H. Sinert, DO


June 30, 2015

The American Burn Association has established the following criteria for referring patients to a burn center:

  • Any partial-thickness burn larger than 20% of TBSA in a patient of any age, or larger than 10% of TBSA in children younger than 10 years or adults older than 50 years

  • Third-degree burns covering more than 5% of TBSA

  • Second-degree or third-degree burns involving critical areas (eg, hands, feet, face, perineum, genitalia, or major joints)

  • Burns with associated inhalation injury

  • Electrical or lightning burns

  • Severe burns complicated by coexisting trauma; if traumatic injuries pose a higher risk to the patient than the burn injuries, the patient may have to be sent first to a trauma center

  • Preexisting disease that could complicate management of the burn injury

  • Chemical burns with threat of cosmetic or functional compromise

  • Circumferential burns on the extremities or the chest

For more on referral to burn centers, read here.


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