TY - CHAP M1 - Book, Section TI - Burns and Radiation A1 - Levi, Benjamin A1 - Vercruysse, Gary A. A2 - Feliciano, David V. A2 - Mattox, Kenneth L. A2 - Moore, Ernest E. PY - 2020 T2 - Trauma, 9e AB - KEY POINTSEarly resuscitation after burn injury is key to mitigate shock. Follow the Parkland formula for resuscitation in burns greater than 20% total body surface area (TBSA).Use lactated Ringer’s solution, not normal saline, as a resuscitation fluid to avoid hyperchloremic metabolic acidosis.Do not administer bolus intravenous fluids during initial burn resuscitation. This can lead to abdominal compartment and secondary extremity compartment syndromes.Consider early use of colloid (packed red blood cells, fresh frozen plasma, or albumin) in patients with low urine output despite adequate fluid resuscitation.Communicate with local burn center before performing escharotomy.Intubate prior to transfer in patients with extensive head, neck, or facial burns; elevated carbon monoxide levels (>30%), large burns (>40% TBSA), obtundation, or symptoms of early airway obstruction.In austere conditions, resuscitate orally when possible, graft only full-thickness burns and in small aliquots, and minimize ventilator use. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1175135639 ER -