Accuracy of burn size estimation and subsequent fluid resuscitation prior to arrival at the Yorkshire Regional Burns Unit. A three year retrospective study.
The accuracy of burn size estimation and subsequent fluid administration by referring hospitals prior to arrival at the Yorkshire Regional Burns Unit over a three-year period was assessed retrospectively. Burns around 20% body surface area were most accurately assessed, with smaller burns being overestimated and larger burns underestimated. Inaccuracies in fluid resuscitation result in, on average, patients receiving twice the appropriate volume of fluid for the burn size. The possible causes, implications and solutions to these problems are discussed.
Collis
N
N
Yorkshire Regional Burns Unit, Pinderfields Hospitals NHS Trust, Wakefield, UK.
Smith
G
G
Fenton
O M
OM
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000418:Albumins / Q000627:therapeutic use; D001830:Body Surface Area; D001835:Body Weight; D002053:Burn Units; D002056:Burns / Q000145:classification / Q000473:pathology* / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D003102:Colloids / Q000627:therapeutic use; D000077324:Crystalloid Solutions; D004632:Emergency Medical Services; D005440:Fluid Therapy; D006801:Humans; D007223:Infant; D007552:Isotonic Solutions; D008875:Middle Aged; D010952:Plasma Substitutes / Q000627:therapeutic use; D015532:Rehydration Solutions / Q000627:therapeutic use; D012151:Resuscitation; D012189:Retrospective Studies; D013997:Time Factors
D000418:Albumins; D003102:Colloids; D000077324:Crystalloid Solutions; D007552:Isotonic Solutions; D010952:Plasma Substitutes; D015532:Rehydration Solutions