The care of a severely burned patient imposes a remarkable requirement on the supporting community for nurses, physicians, allied health personnel, special care facilities, and laboratory back-up as well as a large share of hospital beddays. Many hospitals that receive burn cases only occasionally have, quite wisely, adopted the policy of early transfer to units more suitably equipped by facilities and experience. Once the early respiratory threat has abated, and the early fluid therapy is judged satisfactory for transport, the patient is safely transportable. Far better to transport the patient to a burn center early in his course, rather than "hanging on" until sepsis and failure of skin grafting forces transfer.
Wherever definitive treatment is given, the patient faces long months of intense physical suffering with the outcome long in doubt. Although many details of care have been improved in the past 25 years and rehabilitation accelerated for survivors, there