Referral Criteria
Adults and children with the following injuries should be discussed with your local Specialised Burn Service. Telephone support and advice on initial care of any patient with a burn injury is available at all times.
For further contact details and how to make a referral to a Specialised Burn Service visit: How to make a Referral.
National Burn Care Referral Guidance
SWUK Referral Guidance Diagram Paediatrics SWUK Referral Guidance Diagram Adults
CAUSE | - Inhalation injury
- Deep dermal and full thickness
- Electrical
- Chemical
- Burns with trauma
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AFFECTED AREA | - Face, hands, genitals, feet, joints, scalp, ears
- Circumferential
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SIZE | - >1% Total Body Surface Area (TBSA) in children
- >3% TBSA in adults
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AGE | |
WOUND | - Not healed within two weeks
- Infected
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DISCUSS | - Suspected non-accidental injury, mental health history or self-harm
- Progressive non-burn skin loss conditions (TENS, SJS, Necrotising Fasciitis)
- Significant co-morbidity (eg diabetes) or immunocompromised patients
- Friction burns with full thickness skin loss
- Cold burns with full thickness skin loss
- Older people (60+)
- Children "unwell" with a burn (consider Toxic Shock Syndrome/Burns Sepsis Syndrome)
- Any other case that causes concern
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Source: London & South East Burn Network