Podcast 731: Fluid Resuscitation in Burns

Podcast 731: Fluid Resuscitation in Burns

Contributor: Chris Holmes, MD

Educational Pearls:

  • Parkland Formula: 4 mL x [Total Body Surface Area Burned (%)] x [body weight (kg)] given in 24 hours
    • 50% given over 8 hours and 50% given over the next 16 hours
  • Brooke Formula: 2 mL x [Total Body Surface Area Burned (%)] x [body weight (kg)] given in 24 hours
    • 50% given over 8 hours and 50% given over the next 16 hours
  • 2009 military study evaluated Parkland vs. Brooke formulas for severe burn patients and found the outcomes were the same
  • Guidelines are in flux on which formula to use, but reducing the overall volume using the Brooke formula can be done without significant change in morbidity or mortality
  • Using fluid responsiveness by measuring urine output and signs of fluid overload can help guide overall resuscitative approach in burn patients

References

Chung KK, Wolf SE, Cancio LC, et al. Resuscitation of severely burned military casualties: fluid begets more fluid. J Trauma. 2009;67(2):231-237. doi:10.1097/TA.0b013e3181ac68cf

Schaefer TJ, Nunez Lopez O. Burn Resuscitation And Management. [Updated 2021 Aug 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430795/

Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD

*********************

The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.

Donate to EMM today!

Diversity and Inclusion Award



Jaksot(1145)

Podcast 587:  Puppies Preventing Burnout?

Podcast 587: Puppies Preventing Burnout?

Contributor: Jared Scott, MD Educational Pearls: Burnout happens. This study reminds us to take a few minutes on shift to take care of yourself. A new study looked at burnout in ER nurses, residents,...

17 Elo 20204min

On the Streets #7: Burns in the Pre-Hospital and ED Setting

On the Streets #7: Burns in the Pre-Hospital and ED Setting

Burns are low-volume, high-acuity injuries that require special attention and care from the pre-hospital team to the Emergency Department and finally to a dedicated burn unit and ICU. As a first respo...

12 Elo 202048min

Podcast 586:  Toxic Shock Syndrome

Podcast 586: Toxic Shock Syndrome

Contributor: Don Stader, MD Educational Pearls: Toxic shock syndrome (TSS) is a rare cause of shock typically caused by Staph aureus or Strep pyogenes, that produces a toxin that leads to rapid onset...

11 Elo 20206min

Podcast 585:  You Sure You Want Colchicine for Gout?

Podcast 585: You Sure You Want Colchicine for Gout?

Contributor: Don Stader, MD Educational Pearls: Gout is an arthritis caused by the deposition of urate crystals into the joint space Colchicine works by disrupting microtubules and prevents white blo...

10 Elo 20203min

Podcast 584:  Ketamine for Depression and Suicidality

Podcast 584: Ketamine for Depression and Suicidality

Contributor: Jared Scott, MD Educational Pearls: Suicide is currently the 10th leading cause of death in the US  Low quality studies have reported ketamine as a potential promising agent in treating ...

4 Elo 20203min

Podcast 583:  Raise Your Hands if You Have Carpal Tunnel Syndrome

Podcast 583: Raise Your Hands if You Have Carpal Tunnel Syndrome

Contributor: Aaron Lessen, MD Educational Pearls: Hand raising test: a simple but effective tool to diagnose carpal tunnel  Patients hold their hands over their head and if symptoms of carpal tunnel ...

3 Elo 20202min

Rapid Fire Pharmacy Review with Adis Keric of ER-Rx

Rapid Fire Pharmacy Review with Adis Keric of ER-Rx

Meet Adis Keric, Board Certified Pharmacotherapy Specialist and a Board Certified Critical Care pharmacist who works in the Emergency Department and ICU of level 1 trauma center Regions Hospital in Sa...

29 Heinä 202018min

Podcast 582:  Gadolinium - The Contrast of MRI

Podcast 582: Gadolinium - The Contrast of MRI

Contributor: Michael Hunt, MD Educational Pearls: Contrast agents are commonly used for X-rays and CT's to better characterize disease, but contrast doesn't work with MRI. That's where the element Ga...

28 Heinä 20204min

Suosittua kategoriassa Tiede

tiedekulma-podcast
rss-mita-tulisi-tietaa
rss-poliisin-mieli
rss-duodecim-lehti
docemilia
radio-antro
filocast-filosofian-perusteet
rss-ammamafia
rss-luontopodi-samuel-glassar-tutkii-luonnon-ihmeita
rss-sosiopodi
utelias-mieli
rss-astetta-parempi-elama-podcast
rss-tiedetta-vai-tarinaa