Intranasal medications can be given during early assessment of patients in severe pain Ongoing analgesic medications are commonly administered intravenously for patients with severe burns because they are effective and predictable Intramuscular injections or oral doses should not be given to patients with significant burns because circulation to muscle and gut is reduced, and absorption of medication will be delayed and unpredictable In children who not respond well to the initial dose of pain medication, a careful assessment for other causes of pain or agitation should be sought The possibility of compartment syndrome, hypoxemia, early shock, and occult injuries should be assessed while simultaneously preparing repeated doses of analgesics Analgesic administration just before debridement of any burn wound is recommended Disposition (Transfer Criteria) Guidelines for admission must be individualized when treating children with burns Hospitals, physicians, and parents have varying capabilities for managing pediatric patients with burns If a physician suspects that the burns cannot be adequately cared for in the home, admission to the hospital is warranted Children with burns 10% TBSA burn, >5% TBSA full-thickness burn, high-voltage burn, chemical burn, known inhalational injury, burn to face, hands, feet, perineum, joints, significant comorbidities that could affect burn treatment, or when social or emotional factors related to the burn injuries will influence rehabilitation MINOR BURNS CLINICAL PEARLS AND PITFALLS