This cross-sectional study investigates pre-hospital practices among burn patients presenting to a tertiary care center in Nepal. It examines first aid measures, timelines to medical care, resuscitation protocols, and factors contributing to delays. Findings aim to highlight gaps in burn care and inform strategies to improve patient outcomes and management practices in resource-limited settings.

Burn injuries are a major public health concern in low- and middle-income countries, contributing significantly to morbidity and disability-adjusted life years (DALYs) lost. This study focuses on understanding the pre-hospital care practices among burn patients in Nepal, a region with limited burn care resources and high incidence rates. Using structured interviews and clinical data, the study explores the type and adequacy of first aid provided, factors influencing delays in accessing tertiary care, and the effectiveness of initial resuscitation. By identifying gaps in awareness, infrastructure, and healthcare delivery, the study seeks to propose actionable recommendations for enhancing burn care systems and improving outcomes for burn patients in Nepal.

Inclusion Criteria:

• Patients of all ages, genders, and backgrounds admitted to the study site with a primary diagnosis of burn injuries.

Exclusion Criteria:

• Patients with life-threatening injuries accompanying burns.
• Patients with a documented history of prior burn injuries.
• Individuals who decline to provide informed consent.

Burn patients presenting to a tertiary care center with diverse demographics, including variations in age, gender, socioeconomic status, and location, primarily from urban and rural settings in Nepal.

The Individual Participant Data (IPD) from this study will be shared with other researchers upon reasonable request. Data to be shared will include de-identified participant data relevant to the study outcomes, including demographic information, first aid practices, treatment details, and timelines of burn care.

The data will be available beginning six months after publication and will remain accessible for three years.

Researchers must submit a formal request, including a detailed research proposal and objectives, to the corresponding author. The request will be reviewed by the study team for approval. Data will be provided under a data-sharing agreement ensuring appropriate use and confidentiality.