• Critical care clinics · Oct 2016

    Review

    Burn Resuscitation in the Austere Environment.

    • Michael Peck, James Jeng, and Amr Moghazy.
    • Arizona Burn Center, Maricopa Medical Center, 2601 East Roosevelt Street, Phoenix, AZ 85008, USA. Electronic address: michael_peck@dmgaz.org.
    • Crit Care Clin. 2016 Oct 1; 32 (4): 561-5.

    AbstractIntravenous (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.Copyright © 2016 Elsevier Inc. All rights reserved.

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