Triage Destination Guidelines

Rule of 9's and Triage Destination Guidelines (2008 Version 2.1 Final from Burn Community submitted to NCCEP)

EMS Clinical Care Documents

Thermal Burn (2008 Version 2.1 Final from Burn Community submitted to NCCEP)

Chemical and Electrical Burn (2008 Version 2.1 Final from Burn Community submitted to NCCEP)

Radiation Burn Considerations (2008 Version 2.1 Final from Burn Community submitted to NCCEP)

Burn Calculations, Pediatric Considerations (2008 Version 2.1 Final from Burn Community submitted to NCCEP)

Interfacility Transfer/Transport Considerations (2008 Version 2.1 Final from Burn Community submitted to NCCEP)

Rule of 9's and Triage Destination Guidelines (2008 Version 2.1 Final from Burn Community submitted to NCCEP)

EMS Disaster Documents (reminder, these are draft versions 2.0 or 2.1).

Burn Medical Disasters, EMS Decision Tree, Version 2.1 (Version 2.0 replaces original posted version and remains open for comment)

Burn Medical Disasters, Considerations for EMS Agencies, Version 2.0 (Version 2.0 replaces original posted version and remains open for comment)

Hospital Care and Disaster Documents (reminder, these are draft versions 2.0 and 2.1).

These documents either include or will include a decision tree page (the what) and a considerations page (how and why) covering the basics of our burn disaster plan.

For Rural, Community and Regional Hospitals:

Burn Medical Disasters, Hospitals without a Burn or Trauma Center, Burn Disaster Decision Tree, Version 2.0 (Version 2.0 replaces original posted version and remains open for comment)

Burn Medical Disasters, Considerations for Hospitals without a Burn or Trauma Center, Version 2.0 (Version 2.0 replaces original posted version and remains open for comment)

For Hospitals with a Trauma Center not co-located to a Trauma Center:

Burn Medical Disasters, Hospitals with a Trauma Center but not co-located with a Burn Center, Burn Disaster Decision Tree (Currently offline awaiting comment)

Burn Medical Disasters, Considerations for Hospitals with a Trauma Center but not co-located with a Burn Center (Currently offline awaiting comment)

For Hospitals with a Burn Center that is co-located with a Trauma Center-located to a Trauma Center:

Burn Medical Disasters, Hospitals with a Burn Center that is co-located with a Trauma Center, Burn Disaster Decision Tree (Currently offline awaiting comment)

Burn Medical Disasters, Considerations for Hospitals with a Burn Center that is co-located with a Trauma Center (Currently offline awaiting comment)

Supporting Documents for Hospitals:

Burn Medical Disasters, Appendix A Survival Grid and Adult Rule of Nines, Version 2.0 (Revised version and remains open for comment)

Burn Medical Disasters, Appendix B Burn Treatment Guidelines, Initial Assessment and Stabilization, Version 2.1 (Revised version and remains open for comment)

Burn Medical Disasters, Appendix C Stabilization, Criteria and Process for Transfer, Version 2.1 (Revised version and remains open for comment)

Burn Medical Disasters, Appendix D, Pediatric Rule of Nines (Currently offline awaiting comment)

Burn Medical Disasters, Appendix E, Flow Rate Chart  (Currently offline awaiting comment)

Burn Medical Disasters, Appendix F, Interfacility Transfer Checklist  (Currently offline awaiting comment)

Burn Medical Disasters, Appendix G, Burn Surge Supplies Checklist  (Currently offline awaiting comment)

Burn Medical Disasters, Appendix H, Burn Treatment Guidelines for 6:5:6 (Currently offline awaiting comment)

Provided the patient does not have a life threatening traumatic injury, the needs of burn patients are typically best met in a Burn Center.  The two burn centers in North Carolina either are presently (North Carolina Jaycee Burn Center at UNC Hospitals) verified by the ABA or intend to be verified (Wake Forest University Baptist Medical Center) in the coming weeks.  Furthermore, both of these burn centers are co-located with Level I Trauma Centers as designated both by the American College of Surgeons and the NC Office of EMS.  No other burn center in any state contiguous to North Carolina has a burn center that complies with the Verification Standards.  Furthermore, not all of these non-verified burn centers are co-located with Level I Trauma Centers.

As a reminder, based on the quality of care, convenience and accessibility to the family for immediate, rehabilitation and follow up care, and to minimize the impact of interstate insurance/Medicaid issues, all patients injured in North Carolina should be referred to one of the two North Carolina Burn Centers prior to consulting services based outside of the state of North Carolina.