🤔 Question: A question came up about the new co-management of care definition. Would this be appropriate for use when the Burn Service team is consulted and managing a frostbite injury while the hospital medicine team is managing the rest of the patient's medical needs?
🌱 Answer: Co-management means that the burn team is doing the actual care, writing orders for the patient related to the wound care, and writing notes related to the care. They may also be doing operative wound procedures on the patient if that is required. If they are only consulting, they may be advising on the wound care but are not actually doing the care or writing the orders for the patient.
🤔 Question: There was a 30yo who presented to a burn center emergency department. They were involved in a motor vehicle crash/car fire. They sustained 35% TBSA burns and were treated at another burn center. They had multiple surgeries at that center and were supposed to be discharged to rehab in about a week. Unfortunately, they were unhappy with their care at that facility and left. They presented to our emergency department. Should this patient be included in our Registry?
🌱 Answer: The decision about whether to enter this patient in your registry is dependent on if they still have open acute burn injury wounds. If yes and you admit them to your inpatient unit, then enter them. If no, then they are no longer an acute patient and should not be entered. It doesn't matter if they were treated at another burn center before they arrived at your facility.