Reasonable Hypothesis SOP [1] | 1 of 2024 as amended |
Balance of Probabilities SOP [2] | 2 of 2024 as amended |
ICD-10-AM codes: T20 to T25, T29, T26.0-2.
Brief description
A heat-induced burn involves injury to the skin and tissues due to external contact with flame or heat. Such injury can sometimes be more severe to also include the deep tissues and organs (multiple burn injury). Heat-induced burns may result in a systemic response involving systemic inflammation and vascular shock.
Flame and heat-induced burns can include the effects of incendiary devices such as white phsophorus grenades and rockets.
This is a clinical diagnosis based on the history and findings on examination.
The relevant medical specialist is an emergency physician, dermatologist or plastic surgeon.
* another SOP applies
# non-SOP condition
This is instantaneous with the application of the agent. In this SOP the RMA has added a time delay in some of the factors which represents the time to recognise the injury, but the injury occurred within minutes of the application of the burning agent.
An external burn is an injury. Any subsequent burn is a new injury that requires the SOP to be invoked again.
The natural history of a burn depends on the severity (depth) of the burn and the extent of the body surface that is affected. Superficial burns can heal without scaring. Severe extensive burns can be fatal or cause severe scarring.
Inability to obtain appropriate clinical management for a burn that is more than superficial is likley to result in a clinical worsening.
Place holder node for Rulebase for external burn
External burn - Chemical burn Factor
Last reviewed for CCPS 08 January 2007.
Investigative Documents
Claimant Report - External Burn [CR9010] [5] Medical Report - External Burn [MR9012] Preliminary questions [36916]
36948 [7] the veteran had a chemical burn to side and site of the body within the 48 hours before the clinical onset of the condition under consideration. 36950 — the veteran has established the causal connection between a chemical burn and VEA service for external burn. 36951 — the veteran has established the causal connection between a chemical burn and operational service for external burn. or 36952 — the veteran has established the causal connection between a chemical burn and eligible service for external burn. Clinical onset and operational service [36951] or 36959 — the identified illness or injury which caused the chemical burn to side and site of the body is causally related to operational service. [11] [12] Clinical onset and eligible service [36952] or
36960 — the identified illness or injury which caused the chemical burn to side and site of the body is causally related to eligible service. [16] [12]
External burn - Cold burn Factor
Last reviewed for CCPS 08 January 2007.
Investigative Documents
Claimant Report - External Burn [CR9010] [5] Medical Report - External Burn [MR9012] Preliminary questions [36914]
36920 [18] the veteran had a cold burn to side and site of the body at the time of the clinical onset of the condition under consideration. 36922 — the veteran has established the causal connection between a cold burn and VEA service for external burn. 36923 — the veteran has established the causal connection between a cold burn and operational service for external burn. or 36924 — the veteran has established the causal connection between a cold burn and eligible service for external burn. Clinical onset and operational service [36923] or
36931 — the identified illness or injury which caused the cold burn to side and site of the body is causally related to operational service. [21] Clinical onset and eligible service [36924] or
36932 — the identified illness or injury which caused the cold burn to side and site of the body is causally related to eligible service. [25] [26]
External burn - Electrical burn Factor
Last reviewed for CCPS 08 January 2007.
Investigative Documents
Claimant Report - External Burn [CR9010] [5] Medical Report - External Burn [MR9012] Preliminary questions [36915]
36934 [28] the veteran had an electrical burn to side and site of the body at the time of the clinical onset of the condition under consideration. 36936 — the veteran has established the causal connection between an electrical burn and VEA service for external burn. 36937 — the veteran has established the causal connection between an electrical burn and operational service for external burn. or 36938 — the veteran has established the causal connection between an electrical burn and eligible service for external burn. Clinical onset and operational service [36937] or
36945 — the identified illness or injury which caused the electrical burn to side and site of the body is causally related to operational service. [31] Clinical onset and eligible service [36938] or
36946 — the identified illness or injury which caused the electrical burn to side and site of the body is causally related to eligible service. [35] [36]
External burn - Inability to obtain appropriate clinical management for an external burn Factor
Last reviewed for CCPS 08 January 2007.
Investigative Documents
Claimant Report - External Burn [CR9010] [5] Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [7132] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [38] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 [41] the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration. 11234 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration. 11235 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration. or 11236 — the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration. Clinical worsening and operational service [11235] or 7390 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service. [45] [46] Clinical worsening and eligible service [11236] or 7391 — the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service. [45] [46]
External burn - Radiation burn Factor
Last reviewed for CCPS 08 January 2007.
Investigative Documents
Claimant Report - External Burn [CR9010] [5] Medical Report - External Burn [MR9012] Preliminary questions [36917]
36972 — the veteran satisfies the occurrence provisions for a radiation burn and VEA service for external burn.
36976 [54] the veteran had a radiation burn to side and site of the body of the kind and at the time specified in the reasonable hypothesis Statement of Principles with respect to the clinical onset of the condition under consideration. or 36973 — the veteran has established the causal connection between a radiation burn and VEA service for external burn. 36974 — the veteran has established the causal connection between a radiation burn and operational service for external burn. or 36975 — the veteran has established the causal connection between a radiation burn and eligible service for external burn. Clinical onset and operational service [36974] or 36986 — the identified illness or injury which caused the radiation burn to side and site of the body is causally related to operational service. [59] [60] Clinical onset and eligible service [36975] or
36987 — the identified illness or injury which caused the radiation burn to side and site of the body is causally related to eligible service. [65] [60]
External burn - Thermal burn Factor
Last reviewed for CCPS 08 January 2007.
Investigative Documents
Claimant Report - External Burn [CR9010] [5] Medical Report - External Burn [MR9012] Preliminary questions [7127] 7135 — the veteran has established the causal connection between a thermal burn and VEA service for external burn. 7139 — the veteran has established the causal connection between a thermal burn and operational service for external burn. or 7140 — the veteran has established the causal connection between a thermal burn and eligible service for external burn. Clinical onset and operational service [7139] or 7147 — the identified illness or injury which caused the thermal burn to side and site of the body is causally related to operational service. [69] [70] Clinical onset and eligible service [7140] or
7148 — the identified illness or injury which caused the thermal burn to side and site of the body is causally related to eligible service. [74] [70]
External burn - Ultraviolet burn Factor
Last reviewed for CCPS 08 January 2007.
Investigative Documents
Claimant Report - External Burn [CR9010] [5] Medical Report - External Burn [MR9012] Preliminary questions [36918]
36962 [76] the veteran had an ultraviolet burn to side and site of the body within the 24 hours before the clinical onset of the condition under consideration. 36963 — the veteran has established the causal connection between an ultraviolet burn and VEA service for external burn. 36964 — the veteran has established the causal connection between an ultraviolet burn and operational service for external burn. or 36965 — the veteran has established the causal connection between an ultraviolet burn and eligible service for external burn. Clinical onset and operational service [36964] Clinical onset and eligible service [36965]
Links
[1] http://www.rma.gov.au/assets/SOP/2024/7a8646280f/001.pdf
[2] http://www.rma.gov.au/assets/SOP/2024/23171ced81/002.pdf
[3] https://clik.dva.gov.au/system/files/media/RMA%20SOP%20Bulletin%20240.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63521%23comment-form
[5] https://clik.dva.gov.au/ccpsclaimant-139
[6] https://clik.dva.gov.au/ccpss001rc-9
[7] clikpopup://CCPS/Chemical burn at onset of external burn
[8] clikpopup://CCPS/reject36948No
[9] clikpopup://CCPS/reject36953No
[10] clikpopup://CCPS/rejectwilful
[11] clikpopup://CCPS/reject36958No
[12] clikpopup://CCPS/reject36959,36960No
[13] clikpopup://CCPS/Chemical burn at onset of external burn on El service
[14] clikpopup://CCPS/reject36954No
[15] clikpopup://CCPS/reject36955No
[16] clikpopup://CCPS/reject36960No
[17] https://clik.dva.gov.au/ccpss001rc-2
[18] clikpopup://CCPS/Cold burn at onset of external burn
[19] clikpopup://CCPS/reject36920No
[20] clikpopup://CCPS/reject36925No
[21] clikpopup://CCPS/reject36931No
[22] clikpopup://CCPS/Cold burn at onset of external burn on El service
[23] clikpopup://CCPS/reject36926No
[24] clikpopup://CCPS/reject36927No
[25] clikpopup://CCPS/reject36932No
[26] clikpopup://CCPS/reject36931,36932No
[27] https://clik.dva.gov.au/ccpss001rc-7
[28] clikpopup://CCPS/Electrical burn at onset of external burn
[29] clikpopup://CCPS/reject36934No
[30] clikpopup://CCPS/reject36939No
[31] clikpopup://CCPS/reject36945No
[32] clikpopup://CCPS/Electrical burn at onset of external burn on El service
[33] clikpopup://CCPS/reject36940No
[34] clikpopup://CCPS/reject36941No
[35] clikpopup://CCPS/reject36946No
[36] clikpopup://CCPS/reject36945,36946No
[37] https://clik.dva.gov.au/ccpss001rc-5
[38] https://clik.dva.gov.au/node/70757
[39] clikpopup://CCPS/Reject/OnsetAfterService
[40] clikpopup://CCPS/Reject/NoPermanentWorsening
[41] clikpopup://CCPS/External burn/ACM %C2%96 contributed to worsening
[42] clikpopup://CCPS/ACM/NoContribution
[43] clikpopup://CCPS/ACM/NotOpService
[44] clikpopup://CCPS/ACM/NotOperDuties
[45] clikpopup://CCPS/ACM/NoIllness
[46] clikpopup://CCPS/reject7390,7391No
[47] clikpopup://CCPS/External burn/ACM %C2%96 onset prior to operational service
[48] clikpopup://CCPS/ACM/OnsetFailOper
[49] clikpopup://CCPS/ACM/NotEligService
[50] clikpopup://CCPS/ACM/NotEligDuties
[51] clikpopup://CCPS/External burn/ACM %C2%96 onset prior to eligible service
[52] clikpopup://CCPS/ACM/OnsetFailElig
[53] https://clik.dva.gov.au/ccpss001rc-3
[54] clikpopup://CCPS/Radiation burn as specified in RH SoP at onset of external burn
[55] clikpopup://CCPS/reject36976No
[56] clikpopup://CCPS/reject36977No
[57] clikpopup://CCPS/reject36978No
[58] clikpopup://CCPS/reject36983No
[59] clikpopup://CCPS/reject36984No
[60] clikpopup://CCPS/reject36986,36987No
[61] clikpopup://CCPS/Radiation burn as specified in BOP SoP at onset of external burn on El service
[62] clikpopup://CCPS/reject36979No
[63] clikpopup://CCPS/reject36980No
[64] clikpopup://CCPS/reject36985No
[65] clikpopup://CCPS/reject36987No
[66] https://clik.dva.gov.au/7127-thermal-burn
[67] https://clik.dva.gov.au/reasons-decision-121
[68] clikpopup://CCPS/reject7141No
[69] clikpopup://CCPS/reject7146No
[70] clikpopup://CCPS/reject7147,7148No
[71] clikpopup://CCPS/Thermal burn at onset of external burn on El service
[72] clikpopup://CCPS/reject7142No
[73] clikpopup://CCPS/reject7143No
[74] clikpopup://CCPS/reject7148No
[75] https://clik.dva.gov.au/standard-commentary-100
[76] clikpopup://CCPS/UV burn in 24 hours before onset of external burn
[77] clikpopup://CCPS/reject36962No
[78] clikpopup://CCPS/reject36966No
[79] clikpopup://CCPS/reject36967No
[80] clikpopup://CCPS/reject36968No