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Guidelines for referral to a burn center:, , * Partial-thickness burns greater than 10% body, surface area (BSA)., , * Burns involving 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 complicated preexisting medical disorders., , * Patients with burns and concomitant trauma, in which the burn is the greatest risk. If the, trauma is the greater immediate risk, the, patient may be stabilized in a trauma center, before transfer to a burn center., , * Burned children in hospitals without qualified, personnel for the care of children., , * Burn injury in patients who will require special, social, emotional, or rehabilitative intervention., , ., , Jackson zones of tissue injury following burns:, , * The zone of coagulation is the most severely, burned portion and is typically in the center of, the wound., , * Peripheral to that is a zone of stasis, with, variable degrees of vasoconstriction and, resultant Ischemia., , * The last, outermost area of a burn is called the, zone of hyperemia, which will heal with, minimal or no scarring and is most like a, superficial or first-degree burn. It is, characterized by vasodilation from, inflammation surrounding the burn wound.