Burn Center Intelligence Report

✓ RECOMMENDED FOR LOCAL TREATMENT

This facility can manage burns up to 50% TBSA with full surgical capability. No immediate evacuation required for moderate to major burns. International coordination established.

Key Capabilities Overview

Maximum TBSA Capacity

50% TBSA Major Burns

Bed Availability

2 beds available now

Surgery Timeframe

Within 12 hours

Accreditation

National Health Ministry

✓ Thermal/Flame Burns

✓ Chemical Burns

✓ Electrical Burns

✓ Inhalation Injury

✓ Skin Grafting

✓ Pediatric Burns

✓ ICU Capability

✓ 24/7 Coverage

Current Facility Conditions

Photos taken February 12, 2026 at 09:45 local time

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Burn Unit Ward - 14 bed capacity, 2 currently available

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Hydrotherapy Suite - Specialized equipment for daily wound care

📦

Supply Room - Well-stocked with grafts, dressings, antibiotics

Staffing & Quality Metrics

Specialized Burn Physicians

4 physicians

Trained Burn Nurses

85% certified

Infection Rate

8% Good

Annual Case Volume

120+ major burns/year

Expected Treatment Timeline

Burn Severity	Typical Length of Stay	Outpatient Follow-up
10-20% TBSA	2-3 weeks	Required, available
20-30% TBSA	3-5 weeks	Required, available
30-50% TBSA	6-8 weeks	Extended follow-up available

Cost Estimates

Service	Estimated Cost (USD)
30% TBSA burn (complete treatment)	$35,000 - $45,000
ICU per day	$800 - $1,200
Ward care per day	$300 - $450
Skin graft surgery	$5,000 - $8,000

Payment: Accepts direct billing from international insurance companies with pre-authorization. Insurance guarantee letter accepted. No upfront deposit required with proper authorization.

Communication & Coordination

English Communication

Available Excellent

24/7 Case Manager Access

Yes, dedicated line

Medical Reports

English, 24-hour turnaround

Insurance Network

Multiple international carriers

Emergency Contacts

📞 24/7 Burn Unit: +593-4-2563-030 ext. 2156

👨‍⚕️ Director: Dr. Carlos Mendoza (English/Spanish)

📧 Insurance Coordination: internacional@hospitalvernaza.med.ec

💬 WhatsApp: +593-99-XXX-XXXX (Case managers)

Evacuation Planning (If Required)

Air Transport Capability

Full stabilization available

Nearest International Airport

José Joaquín de Olmedo (GYE)

Hospital to Airport

15 minutes by ambulance

Transfer Facility (if needed)

Jackson Memorial, Miami FL

Evacuation Threshold: Facility recommends transfer for burns >50% TBSA or if patient develops severe complications. Estimated medevac cost to Miami: $45,000-$65,000.

Ground Truth Intelligence

Physician Assessment: "This is a well-functioning burn center. I work here and have treated over 200 major burn cases. Our hydrotherapy suite was upgraded in 2024, we maintain good infection control, and our surgical team is experienced. We currently have adequate supplies including skin grafts and advanced dressings."

Current Capacity: Census is 12/14 beds occupied. Two beds available for immediate admission. One patient is scheduled for discharge tomorrow.

Recent Cases: Last week treated a 42% TBSA electrical burn (construction worker) - patient doing well, grafts taking. Standard of care comparable to regional centers.

Aksanio Recommendations

✓ SUITABLE FOR LOCAL TREATMENT

This facility has appropriate capabilities for major burn treatment up to 50% TBSA. Quality indicators are acceptable, international coordination is established, and costs are reasonable. Recommend local treatment over expensive evacuation for cases within their stated capacity.

Consider Evacuation If:

Burns exceed 50% TBSA
Severe inhalation injury with respiratory failure
Patient develops multi-organ failure
Significant complications beyond burn center capability
Family requests evacuation (discuss cost implications)