burn center
{{short description|Health care facility specialising in the treatment of burns}}
{{refimprove|date=August 2016}}A burn center, burn unit, or burns unit is a hospital specializing in the treatment of burns.{{cite web|title=Burn Center|url=http://www.uwhealth.org/emergency-room/burn-center/10771|publisher= University of Wisconsin Hospitals and Clinics Authority|accessdate=26 January 2011}}{{cite web|title=The Johns Hopkins Burn Center|url=http://www.hopkinsmedicine.org/burn|publisher=Johns Hopkins University|accessdate=26 January 2011}} Burn centers are often used for the treatment and recovery of patients with more severe burns.
Overview
The severity of a burn, and therefore whether a referral will be made after the patient is treated and stabilized, differs depending upon many factors, among them: the age of the victim (burns to infants and toddlers or to those over age 65 are generally more serious, particularly if the face, head, respiratory system, chest, abdomen, groin, or extremities are burned; those who are not in these age groups can be more affected if they are or were already ill, injured, or immunocompromised), the total body surface area that is burned (the rule of nines), if proper treatment and referrals are delayed or the wrong treatments are given, if the burns are of the 2nd, 3rd, or 4th degree (the bigger and deeper, the worse it is), the source (if it was due to a chemical, or from a scald, or fire, or radiation, the treatment regimen has to be modified appropriately), or if skin grafting is not feasible and/or important organs are harmed.
Burn team
{{Further|Intensive care unit}}
A burn center needs a team approach for the management of critically burnt patients. Usually, the burns management team consists of a plastic surgeon, intensivist, chest physician, general surgeon, Anesthesiologist, Respiratory Therapist, pediatrician, nurses and technicians, microbiologist, psychiatrist, nutritionist, physiotherapist, and social worker.{{Cite web |first= |title=Guidelines for Trauma Centers Caring for Burn Patients |url=http://ameriburn.org/wp-content/uploads/2017/05/acs-resources-burn-chapter-14.pdf |website=ameriburn.org |at=Section: Other Personnel}}{{Cite web |title=Ross Tilley Burn Centre - About Us - Sunnybrook Hospital |url=https://sunnybrook.ca/content/?page=rtbc-about-burn-centre#:~:text=This%20includes:%20burn%20surgeons,%20nurses,physicians%20and%20other%20support%20staff. |access-date=2022-05-26 |website=sunnybrook.ca |language=en}} Early burn wound excision and immediate wound cover can improve the chances of survival in major burn cases.