CAUSE

• Inhalation injury
• Deep dermal and full thickness
• Electrical
• Chemical
• Burns with trauma

AFFECTED AREA

• Face, hands, genitals, feet, joints, scalp, ears
• Circumferential

SIZE

• >1% Total Body Surface Area (TBSA) in children
• >3% TBSA in adults

AGE

• Neonates (<28 days old)

WOUND

• Not healed within two weeks
• Infected

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