burns
initial resuscitation
fluid resuscitation
"Adults with burns >15% TBSA and children with burns >10% TBSA require fluid resuscitation."
copied shamelessly from RCEM
Parkland formula
quoted as 4ml/kg * %TBSA
Modified Parkland formula or Brooke formula may quote different volumes per %TBSA, 2-4ml is the usual range
- half of total volume in 1st 8h
- next half in next 16h
this is a massive volume → thereafter titrate to urine output 0.5ml/kg/h
estimating TBSA%
- Lund and Browder chart/Wallace Rule of Nines:
complications
- Toxic shock syndrome