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1.6 - Principles of Assessment and Initial Management of the Patient with Burns
from Section 1 - Resuscitation and Management of the Acutely Ill Patient
- By Behrad Baharlo
Edited by Ned Gilbert-Kawai, The Royal Liverpool Hospital, Debashish Dutta, Princess Alexandra Hospital NHS Trust, Harlow, Carl Waldmann, Royal Berkshire Hospital, Reading
Book:

Intensive Care Medicine

Published online:

27 July 2023

Print publication:

01 December 2021, pp 14-17
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Summary

Key Learning Points
1. Depth and extent of the burn determine management and the need for referral.
2. Lund and Browder charts should be used to estimate the extent of burn (% total body surface area (TBSA)).
3. Increasing age, % TBSA involved and associated inhalation injury correlate with severity.
4. Severe burns require burn shock resuscitation and should be managed in a burns centre.
5. The Parkland formula provides a guide to initial resuscitative fluid requirements.