Which of the following is a burn center criterion?

• A. 6% full-thickness burns over BSA
• B. 1% superficial burns on hand
• C. Minor first-degree burns on face
• D. Burns limited to small area without inhalation risk

Answer: (A)

A burn center criterion is met when the injury is deep and involves a significant portion of the body, because such burns require specialized care, including early surgical planning and careful fluid and airway management. A full-thickness burn means all skin layers are destroyed, often appears white or leathery, and typically has little or no sensation. When this depth affects a noticeable area—about 6% of the total body surface area—it crosses the threshold where standard EMS or ED care may not be enough, signaling the need for burn center resources for optimal healing and function. In contrast, a small 1% superficial burn on the hand is minor and can usually be treated with basic wound care and local measures, a minor first-degree burn on the face is generally managed without transfer unless other concerns exist, and burns limited to a small area without inhalation risk do not require burn-center-level resources.