Any patient having one or more of the following shall be considered a Burn Center Candidate:
3.2.1 Burns involving 15% or more of the total body surface area.
3.2.2 Third degree burns involving 5% or more of the total body surface area.
3.2.3 Burns involving 9% or more of the total body surface area in persons:
A. Under 5 or over 60 years of age, or
B. With a pre-existing disease which may complicate or retard recovery.
3.2.4 Respiratory burns.
3.2.5 Electrical burns.
3.2.6 Burns involving the eyes, ears, face, hands, feet, or genitalia.
3.2.7 Burns with associated trauma.
NOTE: Stable burn patients with associated trauma should be transported to a burn center.
NOTE: Burn patients who have associated hemorrhage should be treated as trauma patients in accordance with OGP 115-02, Pre-Hospital Identification of Trauma Center Candidates.
NOTE: Patients in cardiac arrest or with obstructed or unmanageable airways (in extremis) should be transported to the nearest 911 Ambulance Destination.
4. PROCEDURE
4.1 Upon identification of a Burn Center Candidate, members shall:
4.1.1 Provide treatment in accordance with EMS Command patient care protocols, including, but not limited to EMS Command REMAC BLS Protocol 428 or ALS Protocol 528, Burns.
4.1.2 Consider and/or request the use of a Medevac, if appropriate.
4.1.3 Advise the dispatcher of the transportation of a burn patient to the closest available 911 Designated Burn Center (Appendix 6.1).
NOTE: If the patient's condition deteriorates to extremis while enroute to the burn center (cardiac arrest or unmanageable airway) the patient shall be diverted to the nearest 911 Ambulance Destination.
4.1.4 Notify the dispatcher if it becomes necessary to divert to the nearest 911 Ambulance Destination.
4.1.5 Prior to the completion of an assignment involving a burn victim with no Fire Operations members on the scene, EMS Command members shall ensure proper tracking notification, in accordance with OGP 106-14.