Burn injuries requiring treatment occur in 500,000 patients per year in the United States. Of these injuries, 46% are flame burns. The number of serious burns is decreasing in the United States because of increased prevention (smoke detectors, watertemperature regulations, and decreased smoking), but there are still about 3500 deaths from residential fires yearly. Approximately 75% of such deaths occur at the scene of the accident or during initial transport. Mortality associated with burn injuries is related to the age of the patient, the percentage of the body surface that is burned, and the presence or absence of smoke-inhalation injury.