Which statement about pediatric burn resuscitation guidelines is correct?

• A. If signs of hypoperfusion are present, you may contact burn center for additional drip rates
• B. Wait 30 minutes before contacting burn center
• C. Only chemical burns require transfer
• D. Burns less than 1% BSA never require transfer

Answer: (A)

In pediatric burn resuscitation, matching fluids to perfusion status is crucial. When signs of hypoperfusion appear—such as tachycardia, delayed capillary refill, cool or mottled skin, reduced urine output, or altered mental status—it's important to bring in the burn center to help tailor fluid administration and adjust drip rates. This collaboration helps ensure the child receives enough fluids to support tissue perfusion without overloading the circulation, and it provides guidance on weight-based calculations and monitoring goals.

Waiting 30 minutes to contact the burn center delays critical decision-making. It’s also incorrect to think only chemical burns need transfer; many burns require higher-level care depending on size, location, and perfusion status. And burns under a small percent BSA can still need transfer if perfusion is compromised or other risk factors are present.