Which of the following is a transfer criterion?

• A. Circumferential Burns
• B. Minor Sunburn on Arm
• C. 1% BSA Burns
• D. First-degree Burns

Answer: (A)

Recognizing burn patterns that require transport to a burn center is the main idea here. Circumferential burns are a transfer criterion because a burn that encircles an extremity or the chest can act like a tourniquet as swelling develops, risking impaired blood flow or restricted chest expansion. This can lead to tissue injury, vascular compromise, or respiratory difficulty, so these injuries warrant specialist evaluation and transfer.

In contrast, a minor sunburn on the arm is superficial and limited in area, so it’s typically managed with local care and comfort measures on scene. A burn covering about 1% of body surface area is small and usually does not require transfer unless there are other concerning factors. First-degree burns are superficial and generally treated without transfer, unless there are unusual circumstances or signs of complications.