Burned children in hospitals without qualified personnel or equipment for the care of children.Physician judgment will be necessary in such situations and should be in concert with the regional medical control plan and triage protocols. In such cases, if the trauma poses the greater immediate risk, the patient may be initially stabilized in a trauma center before being transferred to a burn unit. Any patient with burns and concomitant trauma (such as fractures) in which the burn injury poses the greatest risk of morbidity or mortality.Burn injury in patients with preexisting medical disorders that could complicate management, prolong recovery or affect mortality.Electrical burns, including lightning injury.Burns that involve the face, hands, feet, genitalia, perineum or major joints.Partial thickness burns greater than 10% total body surface area (TBSA).Make sure the patient drinks plenty of water if the patient appears to be dehydrated.Pain that is not controlled by ibuprofen or acetaminophen.Redness that may extend beyond the border of the burn.A persistent fever not relieved by medication.Seek medical attention if the patient experiences:.Wrap the burned area loosely to avoid putting too much pressure on the burn tissue. Cover the burn with a sterile gauze bandage or clean cloth.Bacitracin or Triple antibiotic ointment and cover with a gauze bandage or band-aid. For burn areas with blisters, apply a topical antimicrobial, i.e. For burn areas without blisters, applying Aloe Vera products is soothing and a good choice.Administer an over-the-counter pain reliever, such as ibuprofen or acetaminophen for pain control.Remove all jewelry, watches, rings and clothing around the burned area as soon as possible.Do not overcool! If the person starts to shiver, stop the cooling process. Cool the burn with running cool (not cold) water for at least 5 minutes. Remember, when in doubt or if you think the individual’s life is in danger, call 911. It is always advisable to seek medical attention as soon as possible. Please note that even a small “minor” burn has the potential to become infected. Burns that meet ABA burn center referral criteria are not minor burns and require specialized medical treatment. All third-degree burns should be evaluated by a healthcare provider immediately. Third degree burns are serious, regardless of size or area of the body that may be involved, and should be evaluated and treated by a qualified healthcare provider. Failure to do so may result in permanent disfigurement or loss of function. Take the person to the nearest emergency room, family doctor or urgent care clinic to have the burn evaluated. If the area burned is larger than this, or involves functional parts of the body such as feet, face, eye, ears and groin or is located over major joints, more in-depth medical attention is needed. In general, minor burns are first-degree burns or second-degree burns that are smaller than the size of the patient's hand.
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