A burn injury requiring referral to a burn center includes: A partial thickness or full thickness burn greater than 10 percent total body surface area (TBSA) in patients younger than 10 years old; A partial thickness or full thickness burn greater than 20 percent TBSA in other age groups; A partial thickness or full thickness burn that involves the face, hands, feet, genitalia, perineum, and major joints; All full thickness burns greater than 5 percent TBSA in any age group; An electrical/lightening injury; A chemical injury; An inhalation injury; Frostbite and cold injury; A burn injury in patients with preexisting medical disorders that could: Complicate management; Prolong recovery; and Affect mortality; A burn injury with concomitant trauma, such as a fracture, in which the burn injury poses the greatest risk of morbidity in accordance with the following considerations: If trauma poses the greater immediate risk, the patient may be treated initially in the trauma center until stable before being transferred to a burn center; and Physician judgment is necessary in these situations and shall be in concert with the regional medical control plan and triage protocols; A burn injury in a child who has not reached their fifteenth (15th) birthday, who shall be treated in a pediatric burn center designated by MIEMSS; and A burn injury in patients who will require special social, emotional, or long-term rehabilitative support including cases involving suspected child abuse or substance abuse.