1. Partial thickness burns greater than 10% total body surface area (TBSA) 2. Burns that involve the face, hands, feet, genitalia, perineum, or major joints 3. Third-degree burns in any age group 4. Electrical burns, including lightning injury 5. Chemical burns 6. Inhalation injury 7. Burn injury in patients with preexisting medical disorders that could complicate management, prolong recovery, or affect mortality 8. 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. 9. Burned children in hospitals without qualified personnel or equipment for the care of children 10. Burn injury in patients who will require special social, emotional, or long-term rehabilitative intervention
知道上述哪些是屬於需要積極治療的族群之後, 醫療團隊得抓住治療重點, 也就是體液喪失(fluid loss)與傷口早期清創和覆蓋(early debridement and coverage). 一旦患者遭受急性燒燙傷, 等於門戶洞開, 體液緊接著逐漸流失, 因此得按照 Parkland formula << Fluid = 4cc x %TBSA x weight in kg >>給予Lactated Ringer輸液, 同時得隨時注意觀察尿液(urine output)等指標來評估體液補充足夠與否.