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©2013 UpToDate ® Print Email American Burn Association burn injury severity grading system Minor burn 15 percent TBSA or less in adults 10 percent TBSA or less in children and the elderly 2 percent TBSA or less full-thickness burn in children or adults without cosmetic or functional risk to eyes, ear, face, hands, feet, or perineum Moderate burn 15-25 percent TBSA in adults with less than 10 percent full-thickness burn 10-20 percent TBSA partial-thickness burn in children under 10 and adults over 40 years of age with less than 10 percent full-thickness burn 10 percent TBSA or less full-thickness burn in children or adults without cosmetic or functional risk to eyes, ears, face, hands, feet, or perineum Major burn 25 percent TBSA or greater 20 percent TBSA or greater in children under 10 and adults over 40 years of age 10 percent TBSA or greater full-thickness burn All burns involving eyes, ears, face, hands, feet, or perineum that are likely to result in cosmetic or functional impairment All high-voltage electrical burns All burn injury complicated by major trauma or inhalation injury All poor-risk patients with burn injury TBSA: total body surface area; burn: partial or full-thickness; young or old: <10 or >50 years old; adults: >10 or <50 years old. Reproduced from: Hartford CE, Kealey CP. Care of outpatient burns. In: Total Burn Care, 3rd ed, Herndon DN (Ed), Elsevier, Philadelphia 2007. Table used with the permission of Elsevier Inc. All rights reserved.