This form is used for patients with burn injuries. It documents the cause, severity, circumstances, associated trauma, and initial evaluation. It is essential for accurate triage and treatment planning in burn management.
Burn cause (flame, scald, chemical, electrical)
Date/time & location of incident
Injury circumstances (accidental, suicidal, etc.)
Associated trauma assessment
Admission notes & clinician signature
Burns units, emergency departments, trauma centers.
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Trauma / Accident Admission Form Template