Management of outpatient burns

The severity of burns depends on the depth and extent of body surface involved. The total body surface area (TBSA) involved can be estimated by the 'rule of nines'; body locations are 9% of body surface or multiples of nine. Depth and TBSA can be used to classify burns as minor, moderate, or critical. Diagnosis depends on history and physical examination. Most burns can be treated in an outpatient setting. Treatment should include debriding necrotic tissue, preventing infection and encouraging healing. Specific treatment of burns of the face, hands, trunk and feet is described. Follow-up should include assessing healed wounds for the development of hypertrophic scars, and preventing such scars if possible.