Turn burn advocacy into a defensible number. Enter what you know about your county across five pillars — prevention, first aid, burn-center access, protecting kids, and community data — and watch a weighted 0–100 Burn-Safety Score and letter grade update live. Built on Gayle Petrillo’s memoir The Accident, and on free, county-mappable federal data.
Welcome, County Health Leader. This cockpit is a tool, not a game — it turns scattered burn facts into one score your county board can act on. Start with the values you already have; every field has a sensible default so you always see a working number.
How to use it with a board: project the score, walk the five meters top to bottom, and stop on your weakest pillar — the auto-written narrative names it for you. Then point to the Free Data panel to show the numbers are public and pullable, and to the Grant Hook to frame the ask. Print the whole thing as your one-page leave-behind.
Sliders and toggles across the five pillars. Defaults reflect rough national gaps — replace them with your county’s real figures from WISQARS, HCUP, NFIRS and your ED partners.
Each bar is that pillar’s 0–100 sub-score before weighting. The shortest bar is where a board dollar buys the most safety.
Burn and fire data is public. These five federal sources let you replace the defaults above with your county’s real figures — no license fee, no gatekeeper.
Web-based Injury Statistics Query & Reporting System. Nonfatal and fatal burn/fire injury counts and rates by age, intent and mechanism — the backbone of your pediatric burn-visit numbers.
Wide-ranging ONline Data for Epidemiologic Research. Underlying-cause mortality including fire/flame and scald deaths, queryable down to county — the severity tail behind the ED counts.
Healthcare Cost & Utilization Project. Hospital inpatient and ED encounter data — burn admissions, charges and length of stay that turn a burn count into a dollar cost for the grant case.
National Fire Incident Reporting System. Structure fires, causes and civilian injuries reported by local fire departments — ideal for targeting smoke-alarm drives and mapping risk.
National EMS Information System. Prehospital records — response times, transports and burn calls — that ground your minutes-to-burn-center and access picture in real EMS activity.
Federal burn-disaster and mass-casualty planning specifically emphasizes vulnerable populations, including children — which is exactly what a low Protect-the-Vulnerable or Access pillar documents. A Burn-Safety Score turns that emphasis into a defensible, sourced ask.
With about 120,000 children under 21 treated in U.S. EDs for burns each year and a shrinking pediatric burn-surgeon pipeline, a county that can show its gap on paper is the county that gets funded. Pair this score with HCUP cost data to put a dollar figure on inaction.
Each pillar produces a 0–100 sub-score, then the pillars are combined with fixed weights into the overall Burn-Safety Score. Weights reflect leverage: prevention and burn-center access carry the most, because that is where outcomes move most.
| Pillar | Weight | Inputs → sub-score |
|---|---|---|
| 1. Prevent | 25% | Average of two percentages: working-smoke-alarm % and water-heater ≤120°F %. |
| 2. Cool & Care | 15% | The “cool water ~20 min” awareness % directly. |
| 3. Get to a Burn Center | 25% | 60% time-to-center (100×(120−min)/90, clamped 0–100) + 40% pediatric-center-within-2h (yes=100/no=0). |
| 4. Protect the Vulnerable | 20% | 50% pediatric ED rate (100×(250−rate)/200, clamped) + 50% ED abuse-screening protocol (yes=100/no=0). |
| 5. Advocate | 15% | 50% free smoke-alarm program + 50% burn data mapped (each yes=100/no=0). |
| Overall | 100% | Weighted sum → letter grade. |
Letter grades: A ≥ 90, B ≥ 75, C ≥ 60,
D ≥ 45, F < 45. The band cutoffs are deliberately demanding: a
composite in the 30s–40s is common for a county with real gaps, and the point of the tool is to
show where to close them, not to hand out easy A’s.
This is a decision aid, not a clinical instrument. The weighting is a defensible starting model your county can adopt as-is or adjust with your board — document any change so the score stays comparable over time.
Gayle Petrillo’s The Accident teaches that a single tipped hot drink can change a life — and that awareness is a superpower. This Score Card turns that lesson into the number your board can fund.
Explore the Burn Module Read “The Accident”