Harbor:MAC Transfer Burn or Replant

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

• 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
• Replant candidates, activate as TTA2 and consult Ortho
  • Ortho resident here must have phone discussion through MAC with the LAC+USC orthopedic hand attending
  • If patient is NOT accepted by LAC+USC orthopedic attending, but Ortho 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 ortho attending still deems patient NOT a replant candidate, then patient can be sent back to Harbor ED.

https://wikem.org/wiki/Harbor:Transferring_a_patient