Caring for severe burn injuries in low- and middle-income countries requires making decisions about resource allocation given particular contextual factors.

The four-quadrant approach can illuminate ethical issues in burn care related to decision-making capacity, respect for autonomy, and medical futility.

At their best, good systems allow space for the practical judgment of health care professionals to achieve justice in the particular actions of their daily practice.

Organ donor potential should not be considered during active resuscitation of trauma patients, and trauma surgeons should not make organ donation requests.

Emergency research that requires exception from informed consent presents challenges in defining and reaching the at-risk community.

Although identical twin-to-twin skin grafting has resulted in excellent survival rates in burn patients, the nature and scope of ethical decision making in monozygotic sibling skin grafting needs further examination.

Suspected child abuse cases can be identified and repeat hospitalizations of such cases prevented using multidisciplinary teams to evaluate pediatric burns.

Despite a tendency to react otherwise, there is no obvious reason to believe that economically disadvantaged people ought not to be exposed to the same levels of research risk as the rest of the population.