ED Pathway for Evaluation/Treatment of the Child with a Burn Injury

Triage

1 Critical 2 Acute 3 Urgent 4 Urgent 5 Non-Urgent
  • Facial burns with:
    Singed nasal hairs
    Hoarseness
    Oral edema
    Dysphagia

  • Burns > 25% TBSA

  • Electrical burns with hx:

    • Altered mental status
    • Seizure
  • Any full thickness burn

  • Partial thickness > 15% TBSA

  • Burns to face, genitalia

  • Caustic chemicals to eyes

  • Circumferential burns

  • Significant burns of hands, feet

  • Any burn with significant pain

  • Caustic burns

  • Electrical burns with:

    • Loss of consciousness
    • Thrown from source or frozen to
      source
    • Entrance and exit wounds
    • Concern for abuse
  • Partial thickness > 5% TBSA

  • Infected burn

  • Burns requiring debridement;

  • Social Work

  • < 5% partial thickness burn
  • Burn redress

  • Superficial burn

Patients who meet critical criteria or present with an inhalation injury, altered mental status/LOC at scene, chest pain or arrhythmias and associated major trauma should be taken to the Resuscitation Room for immediate evaluation and treatment.

PALMAR METHOD

Patient’s palm = 1% BSA

Document pain scale
Tylenol or Motrin as indicated by Triage Standing Order
Cover burn with dry gauze and secure with Kerlix