Which criteria would justify transferring a burn patient to a specialized burn center?

Transferring a burn patient to a specialized burn center is justified under specific circumstances that warrant advanced care. Burns greater than 10% total body surface area (BSA) in children are particularly concerning due to their smaller body size and the corresponding impact of significant fluid loss or other complications. Additionally, when burns involve critical areas such as the face, hands, feet, genitalia, perineum, or major joints, there are heightened risks for functional impairment, cosmetic issues, or complications that require specialized management that burn centers offer.

Specialized burn centers are equipped with the necessary facilities and personnel trained in managing complex burn injuries, providing critical care, performing surgical interventions, rehabilitative services, and psychosocial support. This resource availability is especially vital for vulnerable populations like children, who may require more intensive observation and multidisciplinary care pathways as part of their recovery process.

In contrast, criteria like minor burns, superficial burns, or burns greater than 10% BSA in adults do not automatically necessitate transfer to a burn center. Adults can often be managed effectively in standard acute care settings for larger percentage burns, particularly if there are no complications or critical areas involved.