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54 - Burn Resuscitation

from Section 11 - Trauma

Published online by Cambridge University Press:  02 November 2023

By
Aaron Surrey
Edited by
Kaushal Shah  and
Jarone Lee
Edited in association with
Clark G. Owyang  and
Benjamin Christian Renne
Kaushal Shah
Affiliation:
Weill Cornell Medical Center, New York
Jarone Lee
Affiliation:
Massachusetts General Hospital, Boston
Clark G. Owyang
Affiliation:
Weill Cornell Medical Center, New York
Benjamin Christian Renne
Affiliation:
Massachusetts General Hospital, Boston
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Summary

  • Two-thirds of reported burn cases admitted to burn centers affect less than 10% of total body surface area (TBSA) and require a relatively short hospitalization. The majority of patients with major burn injury or significant physiological derangements survive. Improvement in mortality rates is related to advances in resuscitation, infection control, modulation of the hypermetabolic response to traumatic injury and early excision and grafting. Traditional classification of burns of first, second, third and fourth degree have been replaced by a more descriptive explanation of injury depth:

Keywords

total body surface area (TBSA)Rule of 9’sfluid resuscitationParkland Formulapain control
Type
Chapter
Information
Practical Emergency Resuscitation and Critical Care , pp. 578 - 588
Publisher: Cambridge University Press
Print publication year: 2023

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References

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