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
- 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.