EMS/First Responders

Healing Patients
Healing Families
Healing Lives

With all burn patients, it is important to initially stop the burning process. Due to size of injury, a dry dressing may be recommended to minimize heat loss.


Always treat patients according to CPR and Trauma Protocol. Overlook the burn first and ensure no other traumatic or airway injuries are present. Always use airway and c-spine precautions.


In a pre-hospital setting, set fluid to:

  • Less than 5 years old – 125 cc/hr
  • 6-13 years – 250 cc/hr
  • Older than 13 years – 500 cc/hr

Once a patient is in the Emergency Department, use the Parkland Formula to calculate fluids:

  • 2-4 cc Ringers Lactate x kg body weight x percent burn
  • Give the first half over the first 8 hours, and the remainder over the next 16 hours.
    • 2 cc for 14 years or older
    • 3 cc for children younger than 14 years
    • 4 cc for electrical burn injuries

Urine output is an indication of the progression and treatment of hypovolemic shock, or burn shock. Place Foley to accurately measure urine.

Titrate ringers lactate based on urine output:

  • Adult or young adolescent: 30 to 50 cc/hr
  • High-voltage electrical injury: 75 to 100 cc/hr
  • Children under 30kg: 1 cc/kg/hr

If there is no urine output, increase rate of fluids by 1/3. If there is only a scant amount of dark or concentrated urine, pigments, myoglobin, and/or hemoglobin may be blocking the kidney, especially in a high-voltage electrical burn. If urine output and pigment clearing do not respond to increased fluid administration, promptly consult a burn center surgeon.



Airway Management

  • Administer high flow 100% oxygen to all burn patients.
  • Be prepared to suction and support ventilation if necessary.
  • Signs of a possible inhalation injury:
    • Burned in an enclosed area
    • Dark or reddened oral or nasal mucosa
    • Burns to the face, lips, nose, including singed eyebrows and nasal hairs
    • Carbon or soot on teeth, tongue, or oral pharynx
    • Raspy, hoarse voice or cough
    • Stridor or inability to clear secretions may indicate impending airway occlusion.
  • If you suspect an inhalation injury, consider intubation.

Burns to hands and feet need special attention because of the possible impact on functionality. Timely evaluation by a burn surgeon or specialist is always recommended.


Ice can cause further tissue damage, even resulting in frostbite. It can also cause burn patients to become cold, which could lower core body temperatures and cause additional complications. Damaged tissue caused by ice can impede the healing process.



Transport the patient to the closest, most-appropriate facility as soon as possible. While treating, make sure to control the bleeding and keep the extremity elevated and wrapped with lightly moistened gauze. If a digit or larger part is amputated, wrap it in a moist gauze and place in a sterile plastic bag. Place the bag on top of ice for transport.


All electrical injuries should be treated as a trauma. Patients should have cardiac monitoring during transport and in the emergency room. Asystole is the most common cause of death at the scene. Stabilize the wound at the point of initial contact and exit.


Chemical injuries often require flushing with lots of water. With eye injuries, flush immediately with clean, room temperature water.


Apart from acute burn injuries, we also treat wounds, facial injuries, complex extremity injuries, complex soft tissue defects, infections affecting the skin structures, including Stevens Johnson syndrome and others, skin-sloughing disorders, complicated or refractory wounds, as well as offering long-term reconstruction services and scar revision treatments for burn survivors and others.


Your initial call to (855) 863-9595 will be answered by one of our skilled operators who will connect you directly with one of our burn experts – a burn surgeon or mid-level practitioner – who will begin the process of transferring or scheduling a follow-up appointment for the patient at one of our facilities. Our experts can also answer questions and offer assistance with initial treatment and transfer prep.


Circumferential injuries require hourly pulse checks to confirm adequate profusion. If swelling occurs and there’s a risk of a compartment injury, an escharotomy or fasciotomy may be performed at the burn center to release the pressure.

Immediate Emergency Burn Care
  1. Treat according to ABLS or ACLS Protocol.
  2. Use airway and C-Spine precautions.
  3. Stop the burning process.
First Aid for the three major categories


  • Stop the burning process with room temperature water.
  • Remove all clothing, diapers, jewelry, metal and restrictive garments.
  • Monitor pulses in circumferentially-burned extremities.
  • Keep patient warm to avoid hypothermia.


  • BE SAFE: Turn off power source or remove source before rescue.
  • Monitor for cardiac arrhythmias.
  • Start CPR, if needed.
  • Remove all clothing, diapers, jewelry, metal and restrictive garments.
  • Document pulses of affected extremities.
  • Keep patient warm to avoid hypothermia.


  • Remove all clothing, diapers, jewelry, metal and restrictive garments, as these can trap chemicals.
  • Brush powder off before flushing with water.
  • Flush with low-pressure, room temperature water for 30 minutes at the scene if no other trauma and the patient’s vital signs are stable.
  • Keep patient warm to avoid hypothermia.
Airway Management
  1. Administer high flow 100% oxygen to all burn patients. Be prepared to suction and support ventilation as necessary.
  2. If inhalation injury is suspected, consider intubation. Burns sustained in an enclosed space are more likely to result in inhalation injury. Other indications of inhalation injury include:
    • Dark or reddened oral and/or nasal mucosa.
    • Burns to the face, lips, nares, singed eyebrows, singed nasal hairs.
    • Carbon or soot on teeth, tongue, or oral pharynx.
    • Raspy, hoarse voice or cough.
    • Stridor or inability to clear secretions may indicate impending airway occlusion.
    • Mental status changes.
Patient History

Obtain the following patient information:

  • How was the patient burned? Enclosed space? Any deaths at scene?
  • When did it happen?
  • Are there concomitant injuries? Rule out associated trauma.
  • PMH/PSH? Allergies? Medications? Last Tetanus? Drug/ Alcohol history?
  • Last meal?
  • Chemical burns – What was the agent? Concentration?
  • Obtain Material Safety Data Sheets.

Provide Tetanus Toxoid prophylaxis as indicated.


Give all pain medication via IV. Provide morphine sulfate (if not contraindicated) in the following proportions:

  • Adults: 3-5 mg IV every 10 minutes or PRN.
  • Children: titrate IV by weight (0.1 mg/Kg/dose) or consult Burn Center surgeon.
  • Do not use ice, iced normal saline or iced water as a comfort measure.


Place NG tube and decompress stomach if nausea and vomiting are present, if patient is intubated or TBSA greater than 20%.


Circumferential Burns

Consult a Burn Center surgeon concerning circumferential burns of the extremities or thorax. An indicator of decreased blood flow due to circumferential burns is slowing of capillary refill or diminished pulses.

Deep circumferential burns of the chest may impair or prevent mechanical ventilation of the burn victim. Escharotomies are rare, but occasionally necessary, at the referring facility. Consult a Burn Center surgeon.


  • Wrap patient in clean or sterile, dry sheet.
  • Place blankets over patient to ensure warmth.
  • Cover head with extra layer.
  • Warm fluids, if possible.
Hallmarks of child abuse


  • Unexplained burn
  • Implausible history
  • Inconsistent history
  • Delay in seeking medical care
  • Frequent injuries, illnesses
  • Child accuses an adult
  • One parent accuses the other
  • Alleged self-inflicted
  • Alleged sibling-inflicted
  • Pattern of burn
  • Immersion burns
  • Rigid contact burns
  • Other signs of abuse/neglect
  • Prior Child Protective Services involvement

If child abuse/neglect is suspected, please contact the local Child Protective Services Office as soon as possible.

Fluid Resuscitation

Pre-Hospital Fluids:

  • < 5 years………..125 mL/hr
  •    6-13 years……250 mL/hr
  • > 13 years………500 mL/hr

Fluids in the Emergency Department:

  • 2-4 mL Ringer’s Lactate x kg body weight x percent burn
    – Adults ≥ 14………500 mL/hr
    – Child < 14………500 mL/hr
    – Child < 14………500 mL/hr
  • Give half over first eight hours and remainder over next 16 hours.
  • Calculate fluids from time of accident.
  • For electrical burns or TBSA >20%, consider placing a Foley catheter to accurately measure urine output.

Burn situations that require special fluid management are:

  • Electrical injury
  • Inhalation injury
  • Patients in which fluid resuscitation is delayed
  • Patients burned while intoxicated
  • Children and infants

If you have questions or concerns about fluid resuscitation, contact the Burn Center at (855) 863-9595.

Estimate depth of burn injury



  • Are reddened, painful and warm to touch.
  • Are devoid of blisters or skin sloughing, e.g., sunburn.

Second-Degree (Partial Thickness)

  • Are reddened, blistered and painful to touch. When debrided, blisters weep fluid from the wound.
  • Blanch to touch.
  • Are at risk of developing into a third-degree burn. Regularly re-assess second-degree burns to ensure the injury has not converted to a third-degree burn. degree.

Third-Degree (Full Thickness)

  • Are dry/tight/leathery, brown/tan/waxy or pearly white.
  • Are devoid of blanching or capillary refill.
  • Are relatively pain-free, devoid of blisters and may initially appear as second-degree.
  • Need skin grafting to heal.

Fourth-Degree (Full Thickness)

  • Have a charred appearance
  • Extend below the dermis and subcutaneous fat into the muscle, bone or tendon.
ABA Criteria for referral

The American Burn Association has identified the following injuries as requiring referral to a burn center after initial assessment and treatment:

  1. Partial thickness burns greater than 10% total body surface area (TBSA).
  2. Burns that involve the face, hands, feet, genitalia, perineum, or major joints.
  3. Any third-degree burn.
  4. Electrical burns, including lightning injuries.
  5. Chemical burns.
  6. Inhalation injuries.
  7. Burn injuries in patients with pre-existing medical disorders that could complicate management, prolong recovery, or affect mortality.
  8. Any patients with burns and concomitant trauma, such as fractures, in which the burn injury poses the greatest risk of morbidity or mortality. In such cases, if trauma poses the greater immediate risk, the patient may be initially stabilized in a trauma center before being transferred to a burn center. Physician judgement will be necessary in such situations and should be in concert with the regional medical control plan and triage protocols.
  9. Burned children in hospitals without qualified personnel or equipment for the care of children.
  10. Burn injuries in patients who will require special social, emotional or rehabilitative intervention.

For questions regarding a burn injury, regardless of size, please call (855) 863-9595

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Morad Askari, MD MBA
Richard L. Hutchison, MD, FACS
Rizal Lim, MD
Haaris Mir, MD, FACS
Medical Director - BRCF | Miami, FL
Medical Director - BRCF | Brandon, FL
Jared S. Troy, MD
BRCF | Brandon, FL
Michael Van Vliet, MD, FACS
Medical Director - BRCF | Bradenton, FL
Morad Askari, MD MBA


  • MBA, University of Miami – School of Business, Miami, FL, 2014-2016
  • M.D., University of Pittsburgh School of Medicine, Pittsburgh, PA, 1999-2004
  • B.S., Biochemistry and Molecular Biology, Pennsylvania State University, State College, PA, 1995-1999


  • General/Plastic Surgery, University of Southern California – Los Angeles County Medical Center, Los Angeles, CA, 2004-2010


  • Hand and Microvascular Surgery, Mayo Clinic, Rochester, MN, 2010-2011

Board Certification

  • American Board of Plastic Surgery
  • Subspecialty of Surgery of the Hand

Clinical Interests

  • Hand Surgery
  • Micro Surgery
  • Nerve Repair
  • Plastic Surgery
  • Reconstructive Surgery

Other Languages

  • Farsi
  • Spanish
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Richard L. Hutchison, MD, FACS


  • M.D., University of Chicago, The Pritzker School of Medicine, Chicago, IL, 1978-1983
  • B.S., Northwestern University, Evanston, IL, 1974-1978


  • Plastic Surgery, St. Louis University, St. Louis, MO, 1988-1990
  • General Surgery, Cooper Hospital/ University of Medicine and Dentistry of New Jersey, Camden, NJ, 1986-1988
  • General Surgery, University of Pennsylvania, Philadelphia, PA, 1983-1985


  • Hand Surgery, Integris Baptist Medical Center, Oklahoma City, OK, 2010-2011
  • Research, University of Pennsylvania, Philadelphia, PA, 1985-1986
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Rizal Lim, MD


  • M.D., Medical College of Ohio, Toledo, OH, 2001-2005
  • B.A., Zoology, University of Miami, Miami, FL, 1997-2001


  • Plastic Surgery, University of Miami, Miami, FL, 2012-2015
  • General Surgery – Chief Resident, Boston Medical Center, Boston, MA, 2009-2012
  • General Surgery, Boston Medical Center, Boston, MA, 2005-2007


  • Craniofacial Surgery, UCLA, Los Angeles, CA, 2015-2016
  • Surgical Research, Boston Medical Center, Boston, MA, 2007-2009



Clinical Interests

  • Facial Surgery
  • Micro Surgery
  • Reconstructive Surgery
  • Wound Care
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Haaris Mir, MD, FACS
Medical Director - BRCF | Miami, FL


  • M.D., Dow Medical College & Civil Hospital, Karachi, Pakistan, 1996-2001


  • Plastic Surgery, Indiana University, Indianapolis, IN, 2009-2011
  • General Surgery – Chief Resident, Temple University Hospital – Lewis Katz School of Medicine, Philadelphia, PA, 2006-2007
  • General Surgery, Temple University Hospital – Lewis Katz School of Medicine, Philadelphia, PA, 2003-2006


  • Burn Surgery, Indiana University, Indianapolis, IN, 2008-2009
  • Hand and Microsurgery, University of Louisville School of Medicine – Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY, 2007-2008

Board Certifications

  • American Board of Surgery
  • American Board of Plastic Surgery
  • Certificate of Added Qualifications of Surgery of the Hand

Clinical Interests

  • Acute Burn Care
  • Burn Reconstruction Surgery
  • Hand Surgery
  • Facial Surgery
  • Reconstruction Surgery

Other Languages

  • Hindi
  • Punjabi
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Medical Director - BRCF | Brandon, FL


  • M.D., University of Buenos Aires, Buenos Aires, Argentina, 1996-2002


  • International Microsurgery Scholar, Chang Gung, Taiwan, 2014
  • Plastic Surgery, Indiana University School of Medicine, Indianapolis, IN, 2009-2011
  • General Surgery, Indiana University School of Medicine, Indianapolis, IN, 2006-2009
  • General Surgery, Indiana University School of Medicine, Indianapolis, IN, 2004-2006
  • Externship, Indiana University School of Medicine, Indianapolis, IN, 2003

Clinical Interests

  • Acute Burn Care
  • Micro Surgery
  • Plastic Surgery
  • Reconstructive Surgery
  • Wound Care
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Jared S. Troy, MD
BRCF | Brandon, FL


  • M.D., Baylor College of Medicine, Houston, TX, 2007-2011
  • B.A., Colorado School of Mines, Golden, CO, 1997-2001


  • Plastic Surgery, University of South Florida, Tampa, FL, 2011-2017

Board Certification

  • American Board of Plastic Surgery

Clinical Interests

  • Facial Surgery
  • Plastic Surgery
  • Reconstructive Surgery
  • Scar Modulation/Laser Therapy
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Michael Van Vliet, MD, FACS
Medical Director - BRCF | Bradenton, FL


  • M.D., Albany Medical College, Albany, NY, 2002-2006
  • B.A., Siena College, Loudonville, NY, 1998-2002


  • Plastic Surgery – Chief Resident, Dartmouth Hitchcock Medical Center, Lebanon, NH, 2011-2012
  • Plastic Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH, 2009-2011
  • General Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH, 2007-2009


  • Burn Surgery and Critical Care, University of Southern California, Keck School of Medicine & Los Angeles County Medical Center, Los Angeles, CA, 2012-2013

Board Certifications

  • American Board of Plastic Surgery
  • American Board of Surgery – Surgical Critical Care

Clinical Interests

  • Breast Reconstructive Surgery
  • Burn Reconstruction Surgery
  • Critical Care
  • Hand Surgery
  • Reconstructive Surgery
  • Scar Modulation/Laser Therapy
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Acute Burn Care
Breast Reconstruction
Hyperbaric Oxygen Therapy
Laser Scar Therapy
Outpatient Clinic
Reconstructive Surgery
Skin & Soft Tissue Disorders
Acute Burn Care
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The premise and promise of the burn center has been to never turn away a patient in need of specialized burn care. BRCF is unique in many ways, including treating both children and adults to the comprehensive circle of care offered by our medical professionals.

At BRCF, the treatment of patients goes beyond their physical burns and wounds. From the expertise of critical care and pediatric intensivists to the consultation of staff psychiatrists, we truly treat the entire patient. We understand that even a small burn can be catastrophic to entire families, and we work hard to lessen the lasting impact of such injuries.

The acute care is often followed by reconstruction as burn scars can be restricting and interfere with a patients lifestyle. This is often a long process requiring years of reconstructive procedures. Therefore, we have a great opportunity to know our patients and connect with them on a level unlike many other specialties.

Many burn centers focus on the acute injury and once the patient is healed refer them to other surgeons to perform their reconstruction. It has been our experience that having the intimate knowledge of what the patient went through in the initial stages helps us to optimize their reconstructive efforts.



Most burns occur at home or work, and the proper response is important both to helping the patient and ensuring proper treatment of the injury.

First, stop the burning process by removing the source of the burn. However, do not endanger yourself. For example, do not try to grab a live electrical wire.

The next step is to remove any jewelry or clothing around the burned area. This will help prevent further damage if swelling occurs. If clothing is stuck to the burn site, do not peel it off. Instead, contact emergency services immediately.

For initial treatment of minor burns, run cool tap water over the burn for at least 20 minutes. For more severe burns, seek medical treatment immediately.

Do not apply butter, grease, honey or powder
Do not use cotton balls or wool to clean a burn
Do not apply ice directly to the burn

Cover the burn with a dry, sterile cloth
Use ibuprofen for pain management


First Degree
Red and painful with no blistering of skin, such as a minor sunburn

Second Degree
Red and painful with blistering – sometimes significantly blistering – of skin. Injuries will maintain a wet appearance.

Third Degree
Injuries have charred appearance, and will be dry to touch. They will have a leathery or white appearance, and be insensate. Treatment of injury will require skin grafting.

Fourth Degree
Injuries will be catastrophic, involve muscle, tendon and bone, and most often require amputation as treatment.

Transfer criteria recommended by the American Burn Association:

  • Partial thickness burn greater than or equal to 10% TBSA
  • Any burn involving the face, hands, feet, genitalia or major joint
  • Any third degree burn
  • Chemical burn injury
  • Electrical burn injury
  • Inhalation injury
  • Burn injury in patients with pre-existing medical disorders
  • Burns involving concomitant trauma in which the burn injury poses the greater risk
  • Burned children in hospitals without qualified personnel or equipment for the care of children
  • Burn injury in patients who will require special social, emotional, or long-term rehab

View Education Page

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Breast Reconstruction
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Burns and wounds are not the only injuries healed at BRCF. Breast plastic surgeries are minimally invasive procedures that restore and improve the size, shape and position of the breasts.  Options for these surgeries include reconstruction, augmentation (enlargement), reduction and lift.  Breast plastic surgeries are tremendously beneficial to women who have lost their breast(s) from mastectomy or lumpectomy and would like to have breast reconstruction to restore natural-looking shape, appearance and size, or lost breast volume due to pregnancy or nursing.  Patients may also want breasts that are in proportion with their body size, or desire a fuller profile.  At BRCF, our highly-trained and experienced plastic surgery team will discuss your priorities to help you choose the right procedure and achieve your goals.

Is It Cosmetic Surgery?

  • In most cases, breast restoration is treatment of a disease and considered a reconstructive surgery, not a cosmetic procedure.

When’s the Best Time to Have Breast Reconstruction?

  • Our team will work with you to identify the appropriate time for your procedure, accounting for your medical condition, procedural approaches, anatomy and personal desire.  Our goal is to create a personalized plan with you to achieve your goals with optimal outcomes in a safe manner.  Patients who have begun chemotherapy or radiation will need to wait until they have completed that treatment.

Breast Reconstruction Approaches

  • Implants – Implants are made out of silicone, saline or a combination of both.  They are placed beneath the chest muscle.  This differs from breast augmentation where implants are placed on top of the chest muscle.
  • Flaps – During this reconstructive procedure, a breast is created with tissue taken from other parts of the body, such as the thighs, abdominal or gluteal regions.  The tissue is then transplanted to the chest, where surgeons can reconnect blood vessels.

Planning for Breast Reconstruction

Women who will have a mastectomy, or may lose a breast from a lumpectomy, have options for surgery:

  • Immediate Breast Reconstruction – Women who are not undergoing chemotherapy or radiation treatment may choose to have reconstruction done in conjunction with their mastectomy or other surgical intervention.
  • Delayed Breast Reconstruction – We recommend that women undergoing chemotherapy or radiation treatment delay their breast reconstruction.  If breast reconstruction is not delayed, a reconstructed breast may lose its appearance, change in shape or texture, become painful and could potentially put a person at-risk. A tissue expander will be inserted after the mastectomy to keep the breast skin that was saved during the procedure in preparation for the final reconstruction, which will be scheduled several months after radiation treatment is complete.
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Hyperbaric Oxygen Therapy
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Hyperbaric Oxygen Therapy (“HBO Therapy”) provides a patient the ability to breathe 100% oxygen at pressures greater than normal atmospheric (sea level) pressure.  This allows more oxygen to pass throughout your body to promote healing, fight infection and kill bacteria.  HBO Therapy can assist patients who have carbon monoxide poisoning, challenges associated with wound healing, necrotizing soft tissue, or skin grafts/flaps.  You may need more than one HBO Therapy treatment to help your recovery.  HBO Therapy does not require a hospital stay, except for patients who are already in the hospital and will be brought back to their hospital room.  Patients using HBO Therapy will go through three phases of care:


During this phase, the patient experiences increased pressure in their ears.  Before the treatment, patients are taught how to clear their ears. The HBO Therapy technician helps the patient release the pressure in their ears during the treatment.


HBO Therapy feels warm during the compression phase due to pressurization. Once the prescribed pressure is reached, the temperature in the chamber cools. During this time the patient may choose to watch TV, listen to music, or sleep. The treatment lasts approximately 90-120 minutes.


The decompression phase begins at the end of treatment. As the pressure is decreased, a “pop” or “crackling” sound occurs as the patient’s ears readjust to normal pressure.

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Laser Scar Therapy
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As part of our long-term care and reconstructive services, we offer laser scar revision treatments. Our surgeons tailor treatment plans based on the type and appearance of the scar and level of a patient’s injury.  Laser scar revisions can assist with loosening of scars to improve range of motion, decrease itching and pain from scars and offer an improved appearance of the scarred area.

Patients often see results from the laser therapy within days of the initial treatment and usually feel minimal side-effects or discomfort.  Improvements may continue with additional treatments, providing short and long term benefits for our patients.  Laser technology is a preferred treatment choice for both hypertrophic and atrophic scars.

Hypertrophic scars have texture and are raised because of over excessive collagen formation.  The most common side effect of treatment is red or purple discoloration on the skin, which may be seen for several days.  Swelling of the treated area may occur, but usually decreases within a few days.  After treatment, your skin is sensitive and it’s very important to limit your exposure to the sun to avoid damaging the treated area.

Atrophic scars are depressions in your skin caused by inflammatory skin conditions, such as chicken pox or cystic acne.  The goal of the treatment is to reduce the scar’s depressions and promote the production of new collagen to help fill in the depressions.  The most common side effects of treatment include redness, swelling and drainage.  After treatment, your skin is sensitive and it’s very important to limit your exposure to the sun to avoid damaging the treated area.

Please speak with our team if you are not sure what type of scar you have or if you want to learn if laser scar revision treatments can help with your scar.

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Outpatient Clinic
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We provide coordinated care with a team of skilled and experienced professionals that includes surgeons, certified wound specialists, nurses, physical & occupational therapists, nutrition counselors and social services coordinators.

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Reconstructive Surgery
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One of the most important steps in the healing of a catastrophically burned patient is the process of reconstruction, especially of extensively burned areas. Due to scar formation from deep second or third degree burns, patients will likely need reconstruction to improve restrictive and hypertrophic burn scars. These burn scars to the face, neck, hands and other regions of the body can restrict motion, such as chewing, drinking and hand or neck or leg movements.

Our team of board-certified plastic and reconstructive surgeons at BRCF, Inc., is continuing to develop different avenues to best treat our patients, those with congenital and acquired skin anomalies, wounds and people interested in generally improving their appearance and/or self-esteem. Through our experience of working with thousands of patients, we have developed the skills necessary to create a thorough treatment plan to improve the aesthetics, form and function of our burn patients. We are not only involved in the reconstruction process, but also in the in the acute phase of patient care. This helps plan procedures for future reconstruction, enhance rehabilitation and overall improve patients’ form, function, aesthetic outcome and, ultimately, their quality of life.

Our plastic and reconstructive surgeons use their knowledge and experience of dermal substitutes, skin grafting, tissue expansion, laser therapy, flap reconstruction and microsurgery to help rehabilitate burned victims.

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Skin & Soft Tissue Disorders
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Burn and reconstructive surgery is not the only service provided by our surgeons at BRCF. Our team of board-certified surgeons and plastic/reconstruction specialists are trained in the treatment and management of skin and soft tissue disorders, including:

  1. Degenerative skin disorders: Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis (TEN)
  2. Infectious processes: Cellulitis and Necrotizing Fasciitis
  3. Complex wounds associated with chronic diseases: Diabetic Foot Ulcers and Calciphylaxis
  • Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are degenerative skin disorders differentiated by percentage of involved body surface area.  While there is some overlap in categorization of SJS and TEN, TEN is characterized with involvement greater than 30% of total body surface area.  Patients often present with a patchy reddening or detachment of the top layer of skin following exposure to a “trigger,” most commonly a medication.  The disease process affects all epithelial tissues of the body and is associated with a significant inflammatory response.   The combination of epithelial loss and severe inflammation leaves the patient susceptible to infections and multi-organ system failure.  The care and treatment for these individuals is similar to those with a thermal injury.  It is for this reason why the medical community favors treatment of these individuals at a multi-disciplinary burn center to limit morbidity and mortality.
  • Necrotizing fasciitis (NF) is a bacterial infection of the skin, commonly occurring when bacteria pass into the body through an open cut, scrape, burn wound or other puncture wound. Patients with NF may complain of swelling and muscle soreness at the site of the infectious process.  The skin is generally warm to the touch and red or purple in color.  As the disease progresses, it may be accompanied by blisters, ulcers or blackening of the skin.  NF is a medical emergency and should be treated in an urgent manner as the bacteria quickly spreads through connective tissue, and can lead to amputations or death within a narrow window of time.  Aggressive surgical debridement, coupled with systemic antimicrobials and hyperbaric oxygen, is often required to prevent the infection from continuing to spread and potentially result in significant morbidity and mortality.
  • Diabetic ulcers occur in approximately 15% of diabetic patients.  If treated properly, patients can avoid amputation, which affects about 1 in 5 patients who develop an ulcer.  Patients who develop ulcers should seek immediate attention from a specialist.
  • Cellulitis is a bacterial skin infection that can spread rapidly if not treated immediately.  Cellulitis can result in necrotizing fasciitis or sepsis, potentially life threatening conditions.  Patients often present with painful, swollen areas of red skin that are warm to the touch.  Although it’s most commonly seen on the skin of the lower legs, it can occur anywhere throughout the body.  Untreated or mistreated cellulitis can extend through the soft tissues into the lymph nodes and bloodstream, resulting in life threating conditions.  Cellulitis should be treated aggressively with antimicrobials while excluding the diagnosis of necrotizing fasciitis and sepsis.  Significant cellulitis can result in morbidity and mortality and thus should be treated by infectious experts at a medical facility or burn center.
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Burns and wounds are not the only injuries healed at BRCF. Our team of plastic and reconstruction specialists offer reconstruction, replantation, traumatic hand and extremity operations, as well as other procedures. Hand and upper extremity injuries account for one-third of all emergency room injuries and are the most common disabling work injuries. Burn and crush injuries to the hand are one of the likeliest injuries for children under the age of six. With 29 major and minor bones, 29 joints, 123 ligaments, 48 nerves and 35 muscles, the hand and lower arm are complex areas that require a skilled assessment and treatment plan.

BRCF has a team of hand specialists who can treat cases ranging from simple sprains to traumatic de-gloving injuries, encompassing all injuries to the fingers, hand, wrist, lower arm, and upper-extremities. We offer several treatments beyond surgery, including medication, topical treatment, injections, or monitored therapy. Contact our office at 855-863-9595 to schedule an appointment or send a referral today. We are available 24 hours a day, seven days a week for emergency cases or consultations.

View Hand Injuries PDF

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Joseph M. Still Burn Symposium
TBD, 2020

Register Here

Established in 2007, the Joseph M. Still Burn Symposium is an annual gathering of medical professionals dedicated to the constant improvement of burn care in America. With sessions presented by leading experts and the availability of educational credits, the Symposium provides your company with a specific, targeted audience.

ABLS -- Blake Medical Center
TUESDAY, JUNE 18, 2019


7:30 A.M. – 3:30 P.M.
2020 59TH STREET


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In Your Region

Target Audience:

Pre-HospitalEmergency DepartmentOther

  • Inpatient and outpatient care
  • Trained Surgeons who are dedicated to provide care for Burn, Wound and Hand/Extremity Injury Patients

BRCF at Blake Medical Center:

  • 44 beds dedicated for burn patients, including 6 ICU beds; 1 dedicated operating room, located in the Tampa Area (Bradenton, FL)
  • Level II Trauma Center with 383 beds

BRCF at Brandon Regional Hospital:

  • Trained Surgeons who are dedicated to provide care for Wound and Hand/Extremity Injury Patients
  • 438-bed facility specializing in cardiovascular services, behavioral health bariatric services and women’s services
  • For Visitor Information  CLICK HERE
  • For appointments, please call (813) 916-1205 between the hours of 8am-5pm, Monday-Friday.
  • After hours and on the weekends, please call (855) 863-9595

BRCF at Kendall Regional Medical Center:

  • 15 beds dedicated for burn patients, including 6 ICU beds; 3 dedicated operating rooms, located in Miami, FL
  • Level I Trauma Center (verified by the American College of Surgeons) and teaching hospital with 417 beds
  • Verified by the American Burn Association



The BRCA Foundation is a 501(c)3 organization dedicated improving patient care, supporting patients and families after they have been discharged from one of our centers, and facilitating education about burn, wound and hand care throughout various medical communities.

Mission Statement
The healing and helping of patients goes far beyond the walls of our burn centers. The BRCA Foundation is committed to helping patients and their families, while continuously working to improve care throughout the world.

Our foundation was founded on three guiding principles:

  • Patient Support
  • Education & Scholarship
  • Community Outreach

To learn more about us or find out how you can help support our mission, please email: [email protected]

All donations to BRCA Foundation are tax deductible.

BRCA Foundation
P.O. Box 3726
Augusta, Georgia 30914