Critically injured burn patients are admitted to the Burn Intensive Care Unit at MedStar Washington Hospital Center for:

  • Resuscitation
  • Monitoring
  • Nursing care
  • Surgical intervention
  • Initiation of rehabilitation therapy

Criteria for ICU admission include:

  • Burns of 20 percent or greater of total body surface area
  • Any burn accompanied by inhalation injury
  • Any electrical contact or chemical injury; elderly patients with burns; or burns to vital areas-face, hands, feet or perineum

Criteria for transfer to a Burn Center:

(From the Advanced Burn Life Support Providers Manual)
  • Second and third degree burns greater than 10 percent TBSA (Total Body Surface Area); inpatients younger than 10 or older than 50 years of age
  • Second and third degree burns to greater than 20 percent TBSA in all other ages
  • Third degree burns greater than five percent TBSA in patients of any age
  • All second and third degree burns with the threat of functional or cosmetic impairment to the face, hands, feet, genitalia, perineum, or major joints
  • All electrical burns, including lightning injuries
  • Chemical burns
  • Curns involving inhalation injury
  • Circumferential burns of the extremities and/or chest
  • Burns involving concomitant trauma among which the burn injury poses the greatest risk of morbidity or mortality.
  • Burns in patients with pre-existing medical conditions that may complicate management and/or prolong recovery, such as coronary artery disease, lung disease, or diabetes