Burns in children are complex injuries that require prompt, structured, and compassionate care, particularly in resource-constrained primary care settings. Thermal burns, the most common type in pediatrics, can rapidly become life-threatening due to airway edema, inhalation injuries, burn shock, and systemic complications such as hypothermia and toxic exposure. In India and other low-resource settings, many pediatric burn patients are first seen at primary care centers, where early recognition, stabilization, and appropriate triage can dramatically influence outcomes. This chapter outlines a systematic, evidence-based approach to pediatric burn management, emphasizing its application at the primary care level. It addresses essential skills for primary care providers (PCPs) including airway evaluation in the context of facial burns, recognizing signs of inhalation injury, and assessing circulation in burn shock. The chapter also explains the use of the Lund and Browder chart to estimate Total Body Surface Area (TBSA) affected and the application of modified Parkland and Brooke formulas for fluid resuscitation. Guidance is provided on pain management, wound care, infection prevention, and indications for referral to specialized burn centers. It also highlights the importance of identifying patterns suggestive of non-accidental trauma and provides principles for effective caregiver communication and psychosocial support. By strengthening the role of PCPs in the early management of pediatric burns, the chapter aims to reduce morbidity, prevent complications, and facilitate timely transfer to definitive care.