Introduction The purpose of this project is to enhance burn education, both inside and outside the Burn Center. The project was motivated by a perceived gap in burn education for the city’s Fire Department (FD). Here, we describe the progress made in closing this gap. In a combined effort between both institutions, a partnership has been developed to help new paramedic firefighters and existing firefighters understand the burn-care process and improve patient outcomes. Since its inception in August 2018, the Burn Strong Initiative has had 3 focuses: 1) train burn center personnel; 2) train FD personnel; and 3) conduct further community outreach. Methods Aim 1 – Burn Center Staff Training. To improve our clinical skills and to enhance our ability to serve as educators in the community, we committed to achieving Advanced Burn Life Support (ABLS) certification for > 90% of our Burn Center clinical staff. Aim 2 – Firefighter Training. The city requested that we develop and implement a new 2-hour Thermal Injury Update class delivered weekly for a total of 36 weeks to EMTs and paramedics, starting January 2018 thru December 2019. Aim 3 – FD Medical Staff Training. The city requested that the Burn Center provide an ABLS course for the FD’s physician staff. Results Aim 1 – To date, we trained 104 Burn Center staff in ABLS, 22 of whom became ABLS instructors. Aim 2 – Burn Strong has completed 28 Thermal Injury Update classes for 615 FD paramedics. There are 10 classes remaining through the end of this year. Total paramedics to be trained is expected to be > 1000. The paramedics receiving 2 CEUs for this course. Aim 3 – We trained 19 FD physicians in ABLS, 4 of whom have become ABLS instructors. We trained an additional 15 personnel at our Regional Advisory Council conference. Conclusions This training effort has better prepared us to treat these complex patients, and has become the initial point of entry into an immersive partnership between the burn center and the city FD. Training firefighters requires ongoing commitment and an understanding of the pre-hospital environment. We plan to continue and expand our partnership with the city and the region to improve burn care. Applicability of Research to Practice This project demonstrates how burn center personnel, through training tailored to local requirements, can collaborate with their FD, improve burn care, and build strong partnerships.

Introduction In March 2019, this Burn Center became the 76th active Survivors Offering Assistance in Recovery (SOAR) hospital in the U.S. and Canada. Burn survivors are directly affected by their burn injuries, but so is the survivor’s family, their healthcare staff, and their community. The purpose of this project is to describe our efforts to improve psychosocial care after discharge. Methods The Burn Center’s SOAR peer-support program consists of: 1) group care, 2) individual care, 3) staff care, and 4) community care. Group care consists of weekly peer-support sessions for burn survivors, led by certified SOAR peer supporters/burn survivors, with support from certified SOAR program coordinators. We also host monthly social outings. Individual care occurs when a SOAR peer supporter provides one-on-one support to another survivor. Our burn survivors have historically visited patients in their support of each other’s recovery. We expanded this by teaching survivors an evidence-based approach. Care has been conducted in-person, via phone, social media, and/or through the SOAR webpage. It seems most effective for people who live at a distance from the burn center and who cannot attend weekly sessions. Staff care aims to increase morale and mitigate burnout. Burn survivors, who are deemed psychiatrically stable, are invited to speak to the same staff who took care of them. The intent is to remind staff of the life-saving effect of their daily work, and to instill a sense of meaningfulness. Staff are also invited to attend burn community activities. Community care consists of survivors speaking at various community events to raise awareness and promote prevention. Results At 24 weeks, there have been 931 SOAR encounters: group care (24 group sessions and n=216), individual care (n=55), staff care (4 events and n=212), and community care (7 events and n=448). The weekly groups currently have an average of 10 participants. There are 55 documented individual-care encounters. A common staff theme revolves around regaining a sense of meaningfulness. Qualitative reports show improved mood, community reintegration, anxiety, pain, and rehabilitation. Recent survivors and their families report feeling better connected to the community than those injured years ago. Conclusions There is a desire for the continuation of the Burn Center’s peer-support program. There continue to be new and recurring attendees at our weekly group sessions. Our peer supporters are semi-autonomous and eager to provide individual support. The program coordinators and peer supporters continue to support Burn Center staff. Applicability of Research to Practice Programs such as this are a powerful venue for sharing one’s experiences and for inspiring others on the path of burn recovery.