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Appropriate equipment should be available to minimise heat loss by the patient and to provide active warming.³⁰

Access to a high dependency unit for patients undergoing reconstructive surgery should be available.⁴⁰

Healthcare workers, including the anaesthetist, must be aware of the local policy for child protection, and they have an obligation to document and report any concerns to a responsible individual.⁴³

Hospitals must have guidelines in place to ensure the safety of children admitted to hospital, monitor injured children known to be at risk, and identify concerns arising from any injury or pattern of injuries.^22,44 They must provide the appropriate training related to these guidelines.

Wherever children and young people undergo anaesthesia, their particular needs should be recognised, and they should be managed in age appropriate facilities and be looked after by staff with relevant experience and ongoing training.²

Children with burns should be cared for in burn services in accordance with the National Burns Care Referral Guidance and with staff and facilities according to the Burn Care Standards.¹¹

Children requiring surgery for cleft lip and palate should be treated by a specialist cleft service.

Wherever sedation services for paediatric burn management exist, anaesthetists should be involved with setting up, monitoring and auditing the service.

Anaesthetists who prescribe sedation for paediatric burn patients should have received appropriate training.⁴¹

Anaesthetists who prescribe oral sedation for paediatric burn patients do not need to be physically present for the procedure for which sedation is being prescribed, but they, or other suitably trained and experienced staff, need to be available to return immediately if the need arises.⁴²