Harbor:MAC Transfer Burn or Replant

Higher level of care transfers to Burn Center or Replant Center:

• See Harbor: Transferring a patient for details on the process

• Typically Transfer Center/Medical Alert Center (MAC) helps us transfer these patients to LAC+USC ED for Burn patients, or finger/hand replant patients
• Burn Center patients meeting Burn Center Criteria, activate as TTA2
  • If patient has outside insurance (OOP), could also consider other Burn Centers in the area via UR coordinated transfer
  • If just need follow up in Burn Center Clinic, see Harbor:Burn Center Clinic
• Replant candidates, activate as TTA2 and consult Hand Call (Rotates between Ortho or Plastics)
  • See Harbor:Replantation_Patients for details
  • Hand Call resident here must have phone discussion through MAC with the LAC+USC Hand surgeon
  • If patient is NOT accepted by LAC+USC Hand surgeon, but Hand Call here thinks should be considered a candidate for replant, then can still send patient over with escalation to the LAC+USC CMO and MAC AOD
  • After in-person eval, if outside Hand Surgeon still deems patient NOT a replant candidate, then patient can be sent back to Harbor ED.

See Also

• Harbor:Main
• Harbor:Transferring_a_patient