SUMMARY ARTICLE American Burn Association Practice Guidelines Burn Shock Resuscitation ‘Tam N. Pham, MD,* Leopoldo C. Casco, MDt Nicole S.Gibras, MD* RECOMMENDATIONS Standard ‘Thee ae isnt data to support 4 weatmest anda weement 2h ine Guidelines Ada and cleo with ums greater than 20% ‘TSA shuld wncergo feral asd reswcaon ‘ting canes bused on body oe and vrace dee bumed, ‘Cone fos wed to init of esti tiomeximate cya ned for2 v0 4/4 body weght/STBSA ding the fst hour Fhudreructaton reparieoftolason spe or conmuted ned, owe be nated to aun ‘eine ouipat of sppronimatey OS-L0 ml) Ag/be inate and 10-13 lig inci dn + Mancenance ids shouldbe adininered to ‘alten in don to tt eaklned Did Srements ented by iy There volume requement an Be antic [uted in patente ll hicks jane Tkson injury, anda delay n rerortasion Options The addin of collokd-containing Did fo Towing barn iy especial after the fis 12 to 24 bouts postbars, may destese overall Th requirements, Earner Se ee ‘bob esormenstanaasprre vii tien im ipa + Ol sernintion should be consdeed in stake ler patent with moderately saed bars nds worthy of farther sty Fypertonic line shoud be rsrved provid srexpeiencedin ths aproach Pm sium SSncenraionstonlé be vey monte $e oid eretrehypernarsia + Admsustation of hgh-dor ascorbic aid may decree overal di requirement sds wor” {Gy of free tad OVERVIEW Purpose “The purpoe of his guideline to revew he pin: pe err ern ny, pe sunct measures. Ik presents arasonal approach fr the [Ekta wentmeat of barn paca, Users sc repoanble forthe tage tn inital manages fbn patent Cinical Problem Sums grestr than 20 to 25% TBSA see socsted sothnerewed api pemesbity anaintwaeslr Yeltane defi tat tron seve in the Bt 24 hour flowing sary Opti Bid ressctation fins to suppet organ perfiion with the Hest mount of fad necesay at he eae physiologic om Under rerscaton leas to decteted pet Son, ace rena fre and death, Since the Sop thon af weight an nr ie bared ors frre ‘estan, malople gen dhfancuon eased by SBudegeste esmetation bs become uncommon i tmodcn American bers ene Instead, dilation tli vole wellan excess 4g urbe ‘eeateponedbysnlpe cavers Thi phenomenon hie Been termed “find creep"! Jase ar nr reeurieaion it moat with poor outcome, 8 a7