Burns
Simple superficial burn <2% in an
adult and <1% in a child with no
significant involvement of hands,
feet or genitalia
(see network guidelines for further
info
http://www.lsebn.nhs.uk/downloa
ds/ )
Category A Plastics not needed
ED action:
 Deroof blisters
 Dress with Aquacel Ag and an
absorbent over dressing
 Discharge with advice leaflet
ED action:
Check tetanus status and provide cover as per protocol
Provide analgesia
Make initial assessment of % burn (please use Lund &
Browder chart)
Is the burn 2-10% in an
adult or 1-5% in a child
Refer to 6300 to get
assessment with advice on
further management and
route of dispersal
Category C Needs senior review for decision or if delay in obtaining advice from 6300
ED action:
 Ensure patient is kept nil by mouth
 Cover burn in cling film
Adults; During hours of ‘GP Referral unit’ (8am-8pm)
 Contact GPRU co-ordinator (BLEEP 6205) and send patient down to be assessed there by plastics
Children; During hours of CDU (8am-6pm)
- Arrange transfer there if capacity confirmed
Outside of these hours, If delay >30 min, escalate up the line of responsibility in plastics to obtain advice and/or
agreement to admit by calling 572956 or the on call consultant
 Dress as advised
 Book for interval assessment in HAPI clinic as per burns care pathway
FIFTH DRAFT 17/07/2014
[Type text]
Is the burn >10% in
an adult or >5% in a
child?
Not appropriate for
burns care at the
John Radcliffe
hospital
Needs referral to a
burns unit or centre
direct from ED.
Please refer to criteria regarding
where to refer and contact details
at:
Children:
http://www.lsebn.nhs.uk/EasySiteW
eb/GatewayLink.aspx?alId=126577
Adults
http://www.lsebn.nhs.uk/EasySiteW
eb/GatewayLink.aspx?alId=126576
Sarah.Tucker@ouh.nhs.uk