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54 - Burn Resuscitation

from Section 11 - Trauma

Published online by Cambridge University Press:  02 November 2023

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 Traditional classification of burns of first, second, third and fourth degree have been replaced by a more descriptive explanation of injury depth:

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Publisher: Cambridge University Press
Print publication year: 2023

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References

American Burn Association. Burn incidence and treatment in the United States: 2016. Chicago, Il: American Burn Association, 2016.Google Scholar
American Burn Association. Advanced Burn Life Support (ABLS) Provider Manual: 2018 Update. Chicago, Il: American Burn Association, 2018.Google Scholar
Barajas-Nava, LA, Lopez-Alcalde, J, Roquei Figuls, M, et al. Antibiotic prophylaxis for preventing burn wound infection. Cochrane Database Syst Rev 2013;(6):CD008738.CrossRefGoogle Scholar
Boyd, JH, Sirounis, D, Maizel, J, et al. Echocardiography as a guide for fluid management. Crit Care 2016;20(1):274.CrossRefGoogle ScholarPubMed
Chung, KK, Wolf, SE, Cancio, LC, et al. Resuscitation of severely burned military casualties: fluid begets more fluid. J Trauma 2009;67(2):231237.Google ScholarPubMed
Herndon, DL. Total Burn Care, 5th ed. Philadelphia, PA: Elsevier Saunders, 2017.Google Scholar
Klein, MB, Hayden, D, Elson, C, et al. The association between fluid administration and outcome following major burn: a multicenter study. Ann Surg 2007;245(4):622628.CrossRefGoogle ScholarPubMed
Liang, JL, Tiwari, T, Moro, P, et al. Prevention of pertussis, tetanus, and diphtheria with vaccines in the United States: recommendations of the Advisory Committee of Immunization Practices (ACIP). MMWR Recomm Rep 2018;67(2):1.CrossRefGoogle ScholarPubMed
Martyn, JA, & Ritchtsfeld, M. Succinylcholine-induced hyperkalemia in acquired pathologic states: etiologic factors and molecular mechanisms. Anesthesiology 2006;104(1):158169.CrossRefGoogle ScholarPubMed
Orgill, DP, & Piccolo, N. Escharotomy and decompressive therapies in burns. BCR 2009;30:759768.Google ScholarPubMed
Rehberg, S, Maybauer, MO, Ekhbaatar, P, et al. Pathophysiology, management, and treatment of smoke inhalation injury. Expert Rev Respir Med 2009;3(3):283.CrossRefGoogle ScholarPubMed
Santaniello, JM, Luchette, FA, Esposito, TJ, et al. Ten-year experience of burn, trauma, and combined burn/trauma injuries comparing outcomes. J Trauma 20014;57(4):696.CrossRefGoogle Scholar

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