1. A. Emergency department attending physicians may provide coverage for acute resuscitation when the burn surgeon is not on-site. In the absence of the burn surgeon, the emergency department physician shall have the authority to provide initial resuscitation and treatment of the burn injured patient.

2. B. Burn unit coverage (i.e., hospitalists, intensivists, etc.) shall:

   1. (1) Be assigned to the burn service;
   2. (2) Be available within 15 minutes, 24 hours a day;
   3. (3) For the adult burn center, be current in ATLS® or ABLS®; and
   4. (4) Have a liaison to the burn QM program with 50 percent attendance.
3. C. The burn center shall maintain an on-call schedule and back-up call list for residents and attending burn staff surgeons who are assigned to the burn service.

4. D. Advanced practice professionals (APPs) providing initial resuscitation to the burn patient shall have:

   1. (1) For the adult burn center, be current in ATLS® or ABLS®; and
   2. (2) A liaison to the burn QM program with 50 percent attendance.

5. E. The following surgical specialties shall be on call and available 24 hours a day and shall be at the bedside within 30 minutes after emergent consultation has been requested by the surgical trauma team leader based on institution-specific criteria:

   1. (1) General surgery/pediatric surgery;
   2. (2) Thoracic surgery;
   3. (3) Neurologic surgery;
   4. (4) Obstetrics/gynecology;
   5. (5) Ophthalmology;
   6. (6) Orthopedic surgery;
   7. (7) Otorhinolaryngology;
   8. (8) Plastic surgery;
   9. (9) Urology; and
   10. (10) Vascular.

6. F. The following nonsurgical specialties shall be on call and available 24 hours a day and shall be at the bedside within 30 minutes after emergent consultation has been requested by the surgical trauma team leader based on institution-specific criteria:

   1. (1) Anesthesiology;
   2. (2) Critical care medicine;
   3. (3) Pediatrics;
   4. (4) Psychiatry;
   5. (5) Interventional radiology (perform complex imaging studies or interventional procedures); and
   6. (6) Interventional angiography.

7. G. The following nonsurgical specialties shall be on call and available 24 hours a day and shall be at the bedside within 60 minutes after emergent consultation has been requested by the burn attending team leader based on institution-specific criteria:

   1. (1) Cardiology;
   2. (2) Patient protection service (adult or child);
   3. (3) Gastroenterology;
   4. (4) Hematology;
   5. (5) Infectious disease;
   6. (6) Nephrology;
   7. (7) Neurology;
   8. (8) Pathology; and
   9. (9) Pulmonology.

8. H. The following nonsurgical specialties shall be on call and available for consultation 24 hours a day based on institution-specific criteria:

   1. (1) Psychology; and
   2. (2) Physiatry.

Authority: Education Article, §13-509, Annotated Code of Maryland

Effective date: March 24, 1997 (24:6 Md. R. 488)

Regulation .04 amended effective July 1, 2002 (29:12 Md. R. 933)

Regulation .06 amended effective July 1, 2002 (29:12 Md. R. 933)

Chapter revised as an emergency provision effective June 1, 2006 (33:15 Md. R. 1277); revised permanently effective October 23. 2006 (33:21 Md. R. 1679)

Regulation .02B amended effective June 4, 2007 (34:11 Md. R. 972)

Regulations .01—.18 repealed and new Regulations .01—.21 adopted effective July 1, 2020 (47:5 Md. R. 313)

Regulation .01A amended effective July 21, 2025 (52:14 Md. R. 714)