Patient Referrals and Consults
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The
Burn and Wound Center at St. John’s welcomes calls concerning consults on
burn and wound patients. For new burn patient referrals, simply call the St.
John’s Burn and Wound Center and ask to speak to a nurse concerning a new
patient referral. Call 417-820-2974 or 1-866-980-8100.
The American Burn Association has identified
the following injuries as those usually requiring referral to a burn center.
Patients with these burns should be treated in a specialized burn facility.
¢ Partial thickness burns greater than 10%
total body surface area (TBSA)
¢ Burns that involve the face, hands, feet,
genitalia, perineum, or major
joints.
¢ Third-degree burns in any age group.
¢ Electrical burns, including lightning
injury.
¢ Chemical burns.
¢ Inhalation injury.
¢ Burn injury in patients with preexisting
medical disorders that could
complicate management, prolong recovery, or
affect mortality.
¢ Any patients with burns and concomitant
trauma (such as fractures) in
which the burn injury poses the greatest risk
of morbidity or mortality. In
such cases, if the trauma poses the greater
immediate risk, the patient
may be initially stabilized in a trauma center
before being transferred to a
burn unit. Physician judgment will be
necessary in such situations and
should be in concert with the regional
medical control plan and triage
protocols.
¢ Burned children in hospitals without
qualified personnel or equipment for
the care of children.
Burn injury in patients who will require
special social,
emotional, or long-term rehabilitative intervention.