Futile care in Kirkuk teaching hospital burn unit.

Background; Futile care; a medical term applied when there is no reasonable hope of improvement or cure in spite expense surgical care. care decision governed by variety scoring systems to evaluate clinical situation and direct effort respecting the patient requirement, surrogate allowance. Where treatment being futile another view must be sought for afflicted patient. 
 Materials & methods; This retrospective study about admitted over 7 years (since January 2012-until December 2018) were 2076 (total admission number) Kirkuk teaching hospital burn unit, them (1284 female, 762 male burns casualty) 74% are saved but (26%) 538 dead out total number , (21%) 435 with expected death, (5%) 103 {(79 pediatric less than 12 years) (24 age more 56 years)} un death latter succumbed sepsis even our best available rescue management.
 Result; on those patients (with 55% BSAB. mostly associated inhalational injury) sex variation{23 (25-55 412 female (13-45years)}most self-immolation; who falls under known guide lines {DNR=Do Not Resuscitate} comfort them, we depend R-Baux score predict probability after injury was calculated each following formula:
 (TBSA + [17×R]). {R=1 if has inhalation R=0 not}.
 Aim; evaluating working challenges Iraq circumstances.
 used different formulae mortality casualties reach results could approach it.
 Conclusion; show increases % American European studies because have facilities limited resources.