Is it necessary to save someone with 95% total body burn?

Nov 24, 2025 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
Whether to resuscitate a patient with 95% total body surface area (TBSA) burns requires comprehensive evaluation. If the burns are predominantly superficial, the patient is relatively young, has no severe underlying diseases, and can be promptly transferred to a hospital equipped for critical burn care, survival remains possible through standardized treatments including shock management, infection control, wound care, and nutritional support. In such cases, active treatment should be pursued.

In general, whether a 95% total body surface area (TBSA) burn warrants treatment requires comprehensive evaluation. Active treatment should be pursued if medical resources are available and the patient's condition permits, while special circumstances require rational judgment. If in doubt, it is recommended to seek medical consultation promptly. Specific analysis is as follows:

If the 95% TBSA burn consists predominantly of superficial burns, and the patient is relatively young, has no severe underlying diseases, and can be promptly transferred to a hospital equipped for critical burn care, survival remains possible through standardized treatments such as shock resuscitation, infection control, wound management, and nutritional support. In such cases, active intervention is warranted.

If the 95% TBSA burn is primarily deep tissue damage, especially when accompanied by multiple organ failure, severe infection, or when medical facilities lack the capacity for sustained intensive care, treatment becomes extremely difficult and the prognosis is generally poor. The decision on treatment strategy should then be made based on a comprehensive assessment involving the patient’s and family’s wishes, available medical resources, and clinical realities.

When confronted with a 95% TBSA burn, emergency services should be contacted immediately. Under the guidance of medical professionals, initial on-site management should be performed properly. After hospitalization, close cooperation with physicians for assessment is essential. It is important to realistically understand the challenges of treatment and likely outcomes, while simultaneously providing psychological support to the patient.

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