How to Recognize a Failed Burn Resuscitation.
Failed burn resuscitation can occur at various points. Early failed resuscitation will be largely caused by prehospital factors. During resuscitation, failure will present as a patient's nonresponse to adjunctive therapy. Late failure will occur in the setting of multiple organ dysfunction syndrome. Burn care providers must be vigilant during the resuscitation to identify a threatened resuscitation so that adjunctive therapies or rescue maneuvers can be used to convert to a successful resuscitation. However, when a patient's resuscitative course becomes unsalvageable, transition to comfort care should be taken to avoid prolongation of suffering.
Department of Surgery, Harborview Medical Center, 325 Ninth Avenue, Box 359796, Seattle, WA 98104, USA.
Elisha G
EG
Brownson
Department of Surgery, Harborview Medical Center, 325 Ninth Avenue, Box 359796, Seattle, WA 98104, USA. Electronic address: tpham94@uw.edu.
Tam N
TN
Pham
United States Army Institute of Surgical Research, 3698 Chambers Pass, JBSA Fort Sam Houston, TX 78234, USA; Department of Surgery, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
Kevin K
KK
Chung
D002056:Burns / Q000628:therapy*; D006801:Humans; D010166:Palliative Care; D010347:Patient Care Planning; D012151:Resuscitation; D017211:Treatment Failure
Burn; Death; Difficult; Failed; Morbidity; Resuscitation; Runaway