The 'National Standards for Provision and Outcomes in Adult and Paediatric Burn Care' presented here are the result of a collaboration between the British Burn Association (BBA) and the burn care Operational Delivery Networks (ODNs) covering England and Wales. They are based on two key documents: the 2013 National Network for Burn Care B. Follow-up: All patients with friction burns should be scheduled in the burn clinic within 1 week of hospital discharge. X. References Al-Qattan M. M., Al-Zahrani K., Al-Shanawani B., Al-Arfaj N. (2010). Friction burn injuries to the dorsum of the hand after car and industrial accidents: classification, management, and functional recovery. • First degree burns usually heal without further treatment. However, if a first-degree burn covers a large area of the body, or the victim is an infant or elderly, seek emergency medical attention. Second-Degree Burns: Second-degree burns involve the first two layers of skin. Signs: • Deep reddening of the skin • Pain • Blisters • Hand- all burns (unless superficial) should be elevated on pillows to help reduce oedema. The wrist should be maintained at 30 degrees extension and the MCPs at 80-90 degrees flexion (to maintain collateral ligs on full stretch) and IPs in full extension (to prevent contracture of volar plate). Thumb in palmar abduction. Management of Burns David G. Greenhalgh, M.D. 2350n engl j med 380;24 nejm.orgJune 13, 2019 Thenew england journal ofmedicine Immediate Management Initial management follows the same principles of 2) The 2019 update allows for placement of IV access in burned skin, if no other sites are available for IV placement. It is preferable to place an IV in unburned skin, however, if no other options exist, IVs can be placed in burned tissue. 3) The 2019 protocol amends and updates prior guidance on burn surface area calculation. The first link provides the complete NSW Health Burn Transfer Guidelines, which has a detailed description of criteria for retrieval and transfer as well as initial and ongoing management. For ease of reference the key relevant parts of the full guidance have also been provided which you can print out and use now. Burn Transfer Guidelines Burn Clinical Practice Guideline 3. Addess uidelines ssteatiall and inlude: a AE as in all tes o taua ases, b Fluid esusitation, Wound ae, d Pain anaeent, e Transe uidelines, and f Pshosoial and siitual suot. treatent Protocol Considerations All taua ases - inludin atients ith un inuies - should e teated initiall olloin 70% of all burn injured children, with >50% of paediatric burns as a result of scalds (2). 10% of burn injuries are to elderly patients, over 65 years old, however have a disproportionate mortality (~10% vs. 1%) and increased hospital length of stay (1). Major burn injuries have an incidence rate of 4.7 per 100'000 population Bioregional planned burn guidelines Improved fire management in national parks - bioregional planned burn guidelines. A key component to improving fire management in Queensland's National Parks has been developing Planned Burn Guidelines.. The guidelines give rangers and other land managers 'nuts and bolts' information and tools necessary to confidently identify fire management issues and Some minor burns do not meet the referral guidelines but would warrant referral to a specialised burns unit. The ambulatory care management of a burn varies across specialised burns units throughout Austra