Adult (≥16yo) referrals outside West of Scotland

Eligibility guidelines are as follows (see also the relevant COBIS section )

• Age 16 years or older
• Burn ≥25% TBSA (elderly/ infirm ≥10%)
• Patients requiring level 3 ICU AND significant early excision and grafting (isolated airway injury might be best managed locally)
• Full thickness burns ≥10% TBSA
• Other complex injuries subject to consultant-level discussions. Examples include:
  • Airway or inhalation injury in the absence of appropriate local ICU expertise
  • High voltage (≥1,000V) electrical injury
  • Polytrauma, where the burn insult is more significant than the non-burn insult and the local trauma centre is unable to manage/ cope
  • Significant frostbite or cold injury.

If the patient is eligible, please:

• Ensure they have been triaged, treated and stabilised according to ATLS/ EMSB principles
• Escalate to your on-call Consultant. Referrals cannot be accepted without Consultant-level approval. 
• Complete the e-referral form and email it to: ggc.burnshubreferrals@nhs.scot and at least one of the Plastic Surgery on call team in Glasgow.
• Contact the Plastic Surgery on-call service in Glasgow and refer the patient, as follows:
  • Plastics 1st on call via GRI switchboard 0141 211 4000, page 13245
  • If unable to reach, please escalate to on-call registrar and/or 1st or 2nd on Consultant via GRI switchboard.

If the patient does not meet the criteria:

• It is likely that the patient is best managed in your local Burn Unit/ Facility. To find the appropriate unit, check the COBIS patient referral pathway page  
• In certain cases, patients can be transferred to the Burn Centre even if they don't meet the referral criteria. These cases must always be discussed at Consultant level. Please engage your Consultant accordingly.
• Mutual aid requests can be considered, according to GGC policy. These will not be granted out of hours and will be discussed on the next working day. Appropriate local arrangements must be made until then.