Historically, almost 2 million Americans sustain a burn injury each year. Through coordinated educational efforts the incidence of injuries requiring medical treatment was estimated at 500,000 for 2007. There are still 40,000 reported hospitalizations with burn fatality as the fifth most common cause of accidental death in the U.S. Burn injuries are one of the most costly catastrophic injuries to treat. Management of burn and wound pain can be extremely challenging and requires specialized education and training to achieve optimal outcomes..