Burns Resuscitation

  • Signs of impending airway compromise include: stridor, wheezing, subjective dyspnea, and a hoarse voice.
  • Carbon monoxide (CO) poisoning may manifest with persistent neurologic symptoms or even as cardiac arrest.
  • Burns <15% TBSA generaly require only PO fluid resuscitation.
  • Do not include first degree burns in the calculation of % TBSA.
  • Generally crystalloid solutions should be infused during the initial 18-24 hrs of resuscitation. It is recommended that 5% dextrose be added to maintenance fluids for pediatric patients weighing < 20kg.
  • All resuscitation measures should be guided by perfusion pressure and urine output: Target a MAP of 60 mmHg, and urine output of 0.5-1.0ml/kg/hr for adults and 1-1.5mL/kg/h for pediatric patients.
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