I know we've all memorized the criteria to "transfer to a burn center"
http://ameriburn.org/BurnCenterReferralCriteria.pdf?PHPSESSID=bc2e1457e9fa4c264ab30b710dabb87e
But this still trips me up. I repeatedly see patients with partial thickness burns on the hands, feet (even saw one on the perineum) get discharged with either plastics or primary care follow up. This makes sense to me but how do we differentiate who gets "transferred" and who can go on an outpatient basis (and who should go to a real "burn center" versus any plastic surgeon). Obviously extensive burns, or patients with other trauma, airway involvement, etc, can't go home. But what about those cases which are typically seen in fast track? It seems to contradict the "transfer criteria"
http://ameriburn.org/BurnCenterReferralCriteria.pdf?PHPSESSID=bc2e1457e9fa4c264ab30b710dabb87e
But this still trips me up. I repeatedly see patients with partial thickness burns on the hands, feet (even saw one on the perineum) get discharged with either plastics or primary care follow up. This makes sense to me but how do we differentiate who gets "transferred" and who can go on an outpatient basis (and who should go to a real "burn center" versus any plastic surgeon). Obviously extensive burns, or patients with other trauma, airway involvement, etc, can't go home. But what about those cases which are typically seen in fast track? It seems to contradict the "transfer criteria"
