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to a specialised Burn Service is recommended for:

• All burns ≥2% TBSA in children or ≥3% TBSA in adults
• All full thickness burns
• All circumferential burns
• Any burn not healed in 2 weeks
• Any burn with suspicion of non-accidental injury
• Must be referred to a Burn Unit/Centre for expert assessment within 24 hours
• Suspicion of Toxic Shock Syndrome (TSS)
• Extensive burn-like injuries (Stevens Johnson Syndrome, Toxic Epidermal Necrolysis)

We recommend a discussion with a member of the Burn Service team and consideration given to referral for:

• All burns to hands, feet, face, perineum or genitalia
• Any chemical, electrical or friction burn
• Any cold injury
• Any unwell/febrile child with a burn
• Any concerns regarding burn injuries and co-morbidities that may affect treatment or healing of the burn
• Delayed presentation of a vulnerable person with a burn

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