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Burn injuries are usually treated according to Advanced Burn Life Support guidelines. In mass-casualty incidents, we recognize four phases of burns treatment according to International Society for Burn Injuries guidelines:
1. First triage
2. Initial wound care and fluid resuscitation, including secondary triage
3. Burn wound care with excision, grafting, and infection control
4. Rehabilitation with reconstructive surgery
The International Society for Burn Injuries proposes guidelines based on proper planning for burns treatment in mass-casualty incidents and the need to clarify levels of care and the transport of patients between these levels. Every country needs to have plans for fire incident management. Emergency medical and rescue personnel need to know basic principles of burn treatment and the locations of burn centers.
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