Healthpoint (Home)

skip to content

This page was last updated at 4:18PM on May 2, 2013

Scroll down for more information

Public Service

Auckland Regional Burn Service/ National Burn Service

Description

The Burn Service is part of the Department of Plastic Surgery at Middlemore Hospital and serves as the Regional Burn Unit for the same catchment area as the Department of Plastic Surgery (north of the Bombay Hills).

Incorporated on-site is the National Burn Centre (NBC) which cares for most severely burn-injured patients from around the country. Access to this National Service is via the Regional Burn Units located at Middlemore Hospital, Waikato Hospital, Hutt Valley Hospital and Christchurch Hospital. Click here for more information on the National Burn Service.

What is a Burn?
Burns are injuries to tissue that can be caused by heat (e.g. fire, steam or contact with hot objects), electricity, radiation or chemicals.

Small burns typically require pain relief and the appropriate dressing to allow spontaneous healing. Larger burns may require admission into hospital for resuscitation and possibly surgery. Burn injuries can be devastating and even life-threatening.

The severity of a burn is determined by a combination of: size (measured as a percentage of total body surface area) and depth (previously expressed as first, second, third or fourth degree – now expressed as epidermal, superficial dermal, mid-dermal, deep-dermal or full-thickness).

Treatment of burns, even minor ones, involves a whole team of specialists dedicated to restoring form and function. Burn wounds are prone to infection and can be very painful.

Modern treatment of burn injuries involves early assessment and dressings, surgery if required and ongoing follow-up with members of the burn team to achieve the goal of rehabilitation and reintegration. 

Immediate First Aid Treatment begins with appropriate first aid:

  • Stop the burning process
  • Remove any easily-removable affected clothing 
  • Cool the burn with cold running water for 20 minutes, then keep the area warm and dry. Ice should not be used on the burn wound 
  • Seek medical advice for wounds that blister or if there are any concerns.

Referral Expectations

Depending on how serious the burn is (in depth, size and location) burns may be treated as either an inpatient (admitted into hospital) or as an outpatient. In both instances, multiple health professionals (surgeons, nurses, physiotherapists and occupational therapists) will be involved. As required, a social worker or psychiatric liaison staff may be involved.

Referrals into the system can come from your family doctor or an emergency department. 

Some outpatient clinics are staffed by all members of the burn team, others only by the Burn Clinical Nurse Specialists.  Referrals to these clinics can be made by GPs or other consultants. 

Common Conditions / Services

  • Epidermal Burns (First Degree)

    These only affect the outer layer of skin (epidermis). The burn area is red, dry and painful but no blisters are present.… More

  • Superficial Dermal, Mid-Dermal and Deep-Dermal Burns (Second /Third Degree)

    Superficial Dermal burns affect the epidermis and part of the second layer of skin (dermis).… More

  • Inpatients

    Patients admitted with burns are cared for in different parts of the hospital depending on how severe their burn injury is and their age.… More

  • Inpatient Treatments - Pain Control, Wound Care and Therapy

    Three main factors necessitate inpatient care for a burn injury: 1.… More

  • Outpatients

    Some patients will be assessed as being suitable for outpatient treatment after being referred in to be assessed.… More

  • Outpatient Treatments

    These are a continuation of the inpatient treatments (see above). More

  • Burns Clinics

    Weekly multidisciplinary burns clinics are held for patients under the care of the Burns Team.… More

Charges

There are no charges for services to public patients if you are lawfully in New Zealand and meet one of the Eligibility Directions specified criteria set by the Ministry of Health.   If you do not meet the criteria, you will be required to pay for the full costs of any medical treatment you receive during your stay.

To check whether you meet the specified eligibility criteria, visit the Ministry of Health website www.moh.govt.nz/eligibility  

For any applicable charges, please phone the Accounts Receivable Office on (09) 276 0060.

Document Downloads

  • Patient & Family Information Booklet (PDF, 240.4 KB)
    An informative and helpful booklet designed to answer questions that patients and families might have regarding the National Burn Centre.

Note: PDF downloads require the free Adobe Reader application to view.

Consultants

Plastic & Burn Surgeon
Plastic & Burn Surgeon; Clinical Leader for Burns

Visiting Hours

Visiting times (and restrictions on visitors) for each part of the hospital differs. Please contact the appropriate part of the hospital to confirm current visiting times and possible restrictions.

In general visiting hours are between 2pm and 8pm. Visitors are restricted to two at a time. Although children are welcome, they must be supervised by an adult at all times.

 
There is a 'No Fresh Flowers' policy on the ward as the pollen may get into wounds and cause infections. 

Other

Websites:

  • National Burn Service
  • Injury Free Counties Manukau provides information on burn prevention and first aid.
  • NZ Fire Service
  • Burn Support Group Charitable Trust
  • Auckland Burns Support Group, email: 
  • Waikato Burn Support
  • Safekids
  • Australian and New Zealand Burn Association
  • Burn Resource Center
  • Information for Burn Care Professionals
  • Changing Faces is a national charity based in the UK that supports and represents people who have disfigurements of the face or body from any cause. Their website is for everyone - to inform, challenge and inspire and ultimately change the way we all see disfigurement.  Changing Faces is a Catalyst for Change, enabling people who have disfigurements to develop high self-esteem and self-confidence, have access to the very best health and social services and enjoy equal rights and opportunities throughout their lives.

Location Information

Contact Details

Phone National Burn Centre: 09 276 0044 ext 8214 or 8664

Street Address

Middlemore Hospital
Hospital Road
Otahuhu
Auckland

Postal Address

Private Bag 93311
Otahuhu
Auckland 1640
New Zealand

Map & more information

Click here for a map and more information about this location.