Description

Anantharaman triaged burn patients in a disaster based on injury severity. The author is from Singapore General Hospital.


 

Findings

Status

Priority

severe cases in shock requiring resuscitation and emergency or urgent surgery

stretcher

first

30 - 90% significant burns in adults; 20-90% burns in children

stretcher

first

life-threatening inhalation injury

stretcher

first

moderate cases requiring resuscitation and early surgery

stretcher

second

15-30% significant burns; 10-20% in children

stretcher

second

< 15% significant burns in adults; < 10% burns in children

ambulant

third

mild cases requiring no or delayed surgery

ambulant

third

invariably fatal injuries

 

lowest

> 90% significant burns

 

lowest

 

where:

• The age distinguishing child from adult was not stated. I used < 16 years for child and >= 16 years for an adult in the implementation.

• Percent body surface area involved by burn included sum of second and third degree burns.

 


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