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Any scheduled burn lists should be organised and staffed by appropriately trained anaesthetists and surgeons who work regularly in that area and who have no conflicting clinical commitments.⁶²

Patients requiring planned or emergency burn surgery should be cared for by theatre staff with current experience in burn care.⁴ Anaesthetists who provide emergency care outside burn services should be trained to manage the initial treatment of the patient with severe burns, including timely emergency assessment, resuscitation and transfer to a burns service.

Theatre and recovery staffing arrangements should be compliant with national guidelines.^11,12,63

Safe sedation and analgesia for burn injured patients undergoing painful procedures outside of the operating theatre environment should be available, for example staple removal, wound dressing and showering.^5,11,48,64

A nurse-led sedation service should be supported by an appropriately trained and experienced anaesthetist at all times.⁵²

Timely access to theatre staff with experience in burn care should be available outside of normal working hours in burn centres and units.⁴

Guidelines for fluid management specific to children, and equipment for accurate fluid delivery, should be available.³²

Theatre teams should be informed whenever a major burn case is expected or has arrived. A member of the theatre team should be responsible for ensuring the availability of appropriately trained staff and facilities.⁴

All specialist burn services should participate in major incident planning with national and regional networks.⁴

Providers of emergency care outside burn services should have the knowledge and equipment needed to treat burn-injured patients should there be an extended delay in transporting the patients to a burn centre, as might be the case in a mass casualty incident.⁶⁵