INTRUDUCTION
 Burns in pediatric patients are very common. In Mexico it is estimated that 10 children under the age of 5 are burned every minute. And the management in those cases that do not meet the requirements for hospitalization is very difficult. 
OBJECTIVE
  Provide adequate, rapid and safe treatment for pediatric burn patients of 1st and 2nd degree who can be managed in the outpatient clinic, for which we use Epifast cultured skin grafts.
METHODOLOGY.
   There are several cases of pediatric patients who were managed on an outpatient basis since in their case they did not meet the requirements to be hospitalized. In some cases the patient was subjected to anesthesia and after the surgery was discharged, in other cases the Epifast was placed, holding it with micropore and bandage and immobilization and they were discharged with the indication of being at home at home.
RESULTS
  After 8 days they returned to the outpatient clinic the epiplast of the wound was removed, with total epithelialization in most cases, in adolescent patients the management was more difficult, requiring 2 or 3 times the application of Epifast.
DISCUSSION.
    Epifast shorten the recovery time of burns, giving a good quality epithelium and with a single procedure in most cases (Cooperating patient) in cases of burns already complicated before and poor cooperation it merit  of 2 to 3 applications.
CONCLUSIONS
  The management of 1st and 2nd degree burns in pediatric patients with Epifast cultivated skin grafts is an excellent option since with a single procedure an excellent result was obtained, I do not leave aesthetic or functional problems, I diminish the discomforts and they were not reported. No rejection or infections.

4 - PEDIATRIC BURNS TREATED WITH AMBULATORY WAY WITH EXCELLENT RESULTS WITH EPIFAST CULTIVATED SKIN GRAFT