American Burn Association Practice Guidelines …

SUMMARY ARTICLEA merican burn Association Practice GuidelinesBurn Shock ResuscitationTam N. Pham, MD,* Leopoldo C. Cancio, MD, Nicole S. Gibran, MD*RECOMMENDATIONSS tandardsThere are insufficient data to support a treatmentstandard treatment at this Adults and children with burns greater than 20%TBSA should undergo formal fluid resuscitationusing estimates based on body size and surfacearea burned. Common formulas used to initiate of resuscita-tion estimate a crystalloid need for 2 to 4 ml/kgbody weight/%TBSA during the first 24 hours. Fluid resuscitation, regardless of solution type orestimated need, should be titrated to maintain aurine output of approximately ml/kg/hr in adults and ml/kg/hr in chil-dren. Maintenance fluids should be administered tochildren in addition to their calculated fluid re-quirements caused by injury. Increased volume requirements can be antici-pated in patients with full-thickness injuries, in-halation injury, and a delay in The addition of colloid-containing fluid fol-lowing burn injury, especially after the first 12to 24 hours postburn, may decrease overallfluid requirements.

SUMMARY ARTICLE American Burn Association Practice Guidelines Burn Shock Resuscitation Tam N. Pham, MD,* Leopoldo C. Cancio, MD,† Nicole S. Gibran, MD*

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