Management of burns is an ever-evolving field of medicine that spans from immediate first aid, to complex graft coverage, fluid resuscitation, nutrition management and infection control. Perhaps the first evidence of burn care can be found in ancient Egypt in 1600BC, involving materials including resin and honey. Approximately 1000 years later in 600BC, the Chinese administered burn care using tea leave tinctures. First aid for burns was not described until approximately 850CE by an Arabian physician, who advocated for the use of cold water as a method of pain relief. Due to the nature of burn injuries, many advancements in the field were made in times of war. The 18th century specifically demonstrates a pivotal era for burns treatment, largely attributed to the surgeon and anatomist John Hunter, as well as other figures such as James Earle, who investigated further the use of immediate cooling, controversial in the era. Interestingly, fire disasters in the 20th century also contributed to important advancement in burn care. In each aspect of burn care there have been seminal findings and evolutions that define the foundation for what is practised today. This presentation aims to investigate pivotal advancements in the aspects of burn care including surface area assessment, wound excision, fluid resuscitation, role of infection in burns, and nutrition replacement.