The elderly population of the United States (US) is growing, however there is a relatively little data on which to guide the provision of burn care to this patient population. Nutrition, although essential to all burn patients, may be even more crucial for elderly with burns; and because elderly are at increased risk for malnutrition, nutrition screening for the elderly burn patient is critical. To date, there are no elderly-specific burn nutrition guidelines, nor are there published consensus practices representative of North American burn units. In order to determine current practice among caregivers across the US and Canada, we distributed a survey to burn care providers on the American Burn Association’s email list. A twelve question survey was emailed twice at a three week interval to 1256 members of the American Burn Association. 112 unique respondents answered the survey, representing a response rate of 8.9%. The majority of respondents had more than 10 years of burn care experience (36.6%, n=41) and worked in burn units with more than 10 beds (68.8%, n=77). Thirty respondents (27%) do not consider age to be a risk factor for malnutrition and, among the majority who do consider age, the age at which risk is entertained varies from 65 to 85 years old. Seventy-one (66.4%) respondents do not use a frailty index to inform estimates of nutritional risk. Wound healing, prealbumin, weight maintenance and indirect calorimetry are the most commonly used indicators of nutritional adequacy. Tube feeding is considered important in the elderly as 71 respondents (64%) state that they would consider placing a feeding tube within 24 hours if caloric goals are not met; and over half (55.9%, n =62) would place the tube post-pyloric. 71% (n=78) use oxandrolone in the elderly. Almost half use glutamine or other immune enhancing formulas and 73% (n=82) rarely, if ever, use parenteral nutrition in the elderly. A surprisingly large number of survey respondents do not consider age a risk factor for malnutrition, despite consensus among nutrition professionals and geriatricians. In slight contrast, most use oxandrolone in elderly burn patients and appear inclined to promptly place a feeding tube if caloric intake is inadequate. Although frailty and malnutrition go hand in hand, less than half of survey respondents use a frailty index to inform nutritional risk Future studies on nutritional outcomes in elderly burn patients regarding nutritional biomarkers, screening for frailty, and use of adjuncts (oxandrolone, glutamine) should be undertaken.