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Interfacility Transport of the Burn-Injured Patient Part 1

Upon conclusion of this course, students will be able to:

  • Recite criteria outlined by the American College of Surgeons Committee on Trauma and the American Burn Association (ABA) that dictate the types of burn injuries that should be referred to a verified burn center;
  • Explain the community need for specialized resources and systems to safely transfer patients with critical burn injuries to the proper level of care;
  • Develop a protocol to address transport of critical burn patients from a local hospital to a regional burn center;
  • Detail the list of necessary and recommended supplies for ground and air transfer of the critical burn-injured patient.

1. American Hospital Association. Fast Facts on U.S. Hospitals 2020, 

2. American Burn Association. Burn Center Regional Map, 

3. Klein MB, Kramer CB, Nelson J, et al. Geographic access to burn center hospitals. JAMA, 2009; 302(16): 1,774–81. 

4. Hick JL. Right care, right place, right time. Regional systems of care are the best way to ensure patients with emergent conditions have the best outcomes. Minnesota Medicine, 2015; 98(5): 32–3. 

5. Klein MB, Nathens AB, Emerson D, et al. An analysis of the long-distance transport of burn patients to a regional burn center. J Burn Care Res, 2007; 28(1): 49–55. 

6. Ahmed A, Van Heukelom P, Harland K, et al. Characterizing demographics, injury severity, and intubation status for patients transported by air or ground ambulance to a rural burn center. J Burn Care Res, 2014; 35(3): e151–8. 

7. Vercruysse GA, Friese RS, Khalil M, et al. Overuse of helicopter transport in the minimally injured: A health care system problem that should be corrected. J Trauma Acute Care Surg, 2015; 78(3): 510–5. 

8. Roman J, Shank W, Demirjian J, et al. Overutilization of Helicopter Transport in Smaller Burns—A Healthcare System Problem That Should Be Corrected. J Burn Care Res, 2020 Jan 30; 41(1): 15–22. 

9. Sun CF, Lv XX, Li YJ, et al. Epidemiological studies of electrical injuries in Shaanxi province of China: a retrospective report of 383 cases. Burns, 2012 Jun; 38(4): 568–72. 

10. Griggs C, Goverman J, Bittner EA, Levi B. Sedation and Pain Management in Burn Patients. Clinics Plastic Surg, 2017; 44(3): 535–40. 

11. Buckland DM, Crowe RP, Cash RE, et al. Ketamine in the Prehospital Environment: A National Survey of Paramedics in the United States. Prehosp Disaster Med, 2018; 33(1): 23–8. 

12. Zorumski CF, Izumi Y, Mennerick S. Ketamine: NMDA Receptors and Beyond. J Neurosci, 2016; 36(44): 11,158–64. 

13. Edrich T, Friedrich AD, Eltzschig HK, Felbinger TW. Ketamine for long-term sedation and analgesia of a burn patient. Anesth Analg, 2004; 99(3): 893–5, table of contents. 

14. Epocrates, 

15. Weaver MD, Rittenberger JC, Patterson PD, et al. Risk factors for hypothermia in EMS-treated burn patients. Prehosp Emerg Care, 2014; 18(3): 335–41. 

16. Du Pont B, Dickinson E. Identifying and Managing Accidental Hypothermia. J Emerg Med Serv, 2017; 42(11). 

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  • After passing the course, your certificate will be available for download here.