Triage of Patients with Cutaneous Burns Only During Mass Casualty Scenario: EPR - Minnesota Dept. of Health

Triage of Patients with Cutaneous Burns Only During Mass Casualty Scenario

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In mass burn situations, some casualties may be too gravely injured to warrant full resuscitation and support. The following table may be used in conjunction with clinical assessment and guidance from a Burn Center. In all cases, patients should be provided with appropriate medications for comfort even if other interventions are not warranted based on the prognosis. Table reflects SURVIVABILITY – so ‘very high’ is excellent prognosis.

Definitions

Survivable Survivable and good outcome expected without requiring initial admission.
Very High Survival with good outcomes highly expected.
High Survival and good outcomes expected with limited/short term initial admission and resource allocation (LOS less than or equal to 14 days. 1-2 surgical procedures)
Medium Survival and good outcomes with aggressive care and comprehensive resource allocation, including initial admission (greater than/equal to 14 days), resuscitation, and multiple surgeries.
Low Survival and good outcome low even with long-term, aggressive treatment and resource allocation.
Very low Survival and outcome poor even with unlimited resources.
Expectant Survival less than 10% even with unlimited, aggressive treatment.

 

Survival rate by age and total percent of body surface area burned (+ 10 for inhalation injury)
  0-10% 11-20% 21-30% 31-40% 41-50% 51-60% 61-70% 71-80% 81-90% 91-100%
<2 years of age Very high Very high Very high High Medium Medium Medium Low Low Very low
2-5 years of age Survivable Very high Very high High High High Medium Medium Low Low
5-19 years of age Survivable Very high Very high High High High Medium Medium Low Low
20-29 years of age Survivable Very high Very high High High Medium Medium Low Low Very low
30-39 years of age Survivable Very high Very high High Medium Medium Medium Low Low Very low
40-49 years of age Survivable Very high Very high Medium Medium Medium Low Very low Very low Expectant
50-59 years of age Survivable Very high Very high Medium Medium Low Very low Very low Expectant Expectant
60-69 years of age Very high Very high Medium Medium Low Very low Very low Expectant Expectant Expectant
70+ years of age Very high Medium Medium Low Very low Expectant Expectant Expectant Expectant Expectant

 

Courtesy of the American Burn Association.

Updated Friday, 09-Dec-2016 10:14:24 CST