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Partial thickness burns greater than 10% of total body surface area (TBSA)
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Burns involving the face, hands, feet, genitalia, perineum, or major joints
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Third degree burns in any age group
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Electric burns, including lightning injury
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Chemical burns
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Inhalation injury
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Burn injury in patients with pre-existing medical disorders that could complicate management, prolong recovery, or affect mortality
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Any patients with burns and concomitant trauma (such as fractures) in which the burn poses the greatest risk of morbidity or mortality
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Burned children in hospitals without qualified personnel or equipment for the care of children
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Burn injury in patients who will require special social, emotional, or long-term rehabilitative intervention.
Excerpted from Guidelines for the Operations of Burn Units (pp.55-62), Resources for Optimal Care of the Injured Patients: 1999, Committee on Trauma, American College of Surgeons.