Fast Five Quiz: Are You Prepared to Confront Firework-Related Injuries?

Richard H. Sinert, DO


June 30, 2015

During resuscitation, the most common error is overhydration, which increases the risk for acute respiratory distress syndrome developing 3-5 days after the burn. In patients with concomitant large TBSA (total body surface area) burns and inhalation injury, the Parkland formula may result in unnecessary large fluid loads. To avoid overhydration, resuscitate patients who have inhalation injuries with amounts substantially lower than specified by the formula, accepting a urinary output in the range of 0.3-0.5 mL/kg/h.

For more on fluid resuscitation in patients with thermal burns, read here.


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