When a patient is admitted with severe burns, it is essential to reduce the risks, as far as possible, of further complications arising. Postural management of the patient by elevating the head and chest helps with chest clearance and reduces swelling of the head, neck and upper airway. In the early stages, significant oedema may be present particularly in the peripheries; poor positioning can lead to unnecessary additional morbidity which can be avoided. Elevation of all limbs affected is necessary in order to quickly reduce oedema; hands should be splinted or positioned and feet kept at 90 degrees, care and attention must also be given to the heel area which can quickly develop pressure. Legs should be positioned in a neutral position ensuring that patient is not externally rotating at the hips