Adult (≥16yo): All West of Scotland Burn Referrals (Major and Minor)

Criteria for admission include:

• Major, centre-level burn injuries
• Smaller injuries, with the following characteristics:
  • almost all burns ≥15% TBSA
  • Some minor burns ≥3% TBSA
  • Some full thickness burns
  • Deep circumferential burns
  • Electrical/ chemical burns/ cold injuries
  • Vulnerable adults/ NAI concerns
  • Involving hands, face, perineum
  • Significant frailty.
• Decision-making is complex. Please discuss with on-call team; if in-hours referral, please also inform one of the Burn Consultants.

• Discuss with Burn Registrar and Burn Consultant during working hours
• Discuss with on-call Plastic Surgery Registrar and Consultant out of hours
• If the patient requires ICU level care, please discuss with GRI ICU Consultant on-call before accepting admission (Consultant 81337- Trainee 81338)
•  Patients cannot be admitted without Consultant approval
• Inform Burn Unit nursing staff ASAP and certainly prior to transfer.

• Ask referrer to email patient details, telephone number and photographs to Burns Clinic: griburns.clinic@ggc.scot.nhs.uk
• Advise referrer that the referral will be vetted by the  Nurse-Led Burn Service the next working day and actioned appropriately.
• Please do not advise referrer that all patients will be brought to Burns Clinic. Some injuries will be suitable for Burn Outreach or community follow-up.

These referrals are very complex logistically:

• The patients are often frail, with poor performance status and complex issues, with often the burn being the least significant of their problems.
• The majority of these patients are suitable for review by the Burn Outreach Team.
• Advise the referrer to email patient details and photographs to griburns.clinic@ggc.scot.nhs.uk  and explain that the referral will be vetted by the Burn Team.
• Do not accept these patients without prior agreement by the Burn Team.