Burn Resuscitation in the Austere Environment

Michael Peck; James Jeng; Amr Moghazy

doi:10.1016/j.ccc.2016.06.010

Burn Resuscitation in the Austere Environment

Crit Care Clin. 2016 Oct;32(4):561-5. doi: 10.1016/j.ccc.2016.06.010.

Authors

Michael Peck¹, James Jeng², Amr Moghazy³

Affiliations

¹ Arizona Burn Center, Maricopa Medical Center, 2601 East Roosevelt Street, Phoenix, AZ 85008, USA. Electronic address: michael_peck@dmgaz.org.
² Mount Sinai Healthcare System, New York, NY, USA.
³ Suez Canal University, Suez Canal University Hospitals, Ismailia, Egypt.

PMID: 27600127
DOI: 10.1016/j.ccc.2016.06.010

Abstract

Intravenous (IV) cannulation and sterile IV salt solutions may not be options in resource-limited settings (RLSs). This article presents recipes for fluid resuscitation in the aftermath of burns occurring in RLSs. Burns of 20% total body surface area (TBSA) can be resuscitated, and burns up to 40% TBSA can most likely be resuscitated, using oral resuscitation solutions (ORSs) with salt supplementation. Without IV therapy, fluid resuscitation for larger burns may only be possible with ORSs. Published global experience is limited, and the magnitude of burn injuries that successfully respond to World Health Organization ORSs is not well-described.

Keywords: Burn shock; Resource-limited settings; Resuscitation.

Publication types

Review

MeSH terms

Body Surface Area
Burns / therapy*
Fluid Therapy / methods*
Health Resources / supply & distribution*
Humans
Rehydration Solutions / supply & distribution
Resuscitation / methods*

Substances

Rehydration Solutions