Burn Resuscitation in the Austere Environment.
Intravenous (IV) cannulation and sterile IV salt solutions may not be options in resource-limited settings (RLSs). This article presents recipes for fluid resuscitation in the aftermath of burns occurring in RLSs. Burns of 20% total body surface area (TBSA) can be resuscitated, and burns up to 40% TBSA can most likely be resuscitated, using oral resuscitation solutions (ORSs) with salt supplementation. Without IV therapy, fluid resuscitation for larger burns may only be possible with ORSs. Published global experience is limited, and the magnitude of burn injuries that successfully respond to World Health Organization ORSs is not well-described.
Arizona Burn Center, Maricopa Medical Center, 2601 East Roosevelt Street, Phoenix, AZ 85008, USA. Electronic address: michael_peck@dmgaz.org.
Michael
M
Peck
Mount Sinai Healthcare System, New York, NY, USA.
James
J
Jeng
Suez Canal University, Suez Canal University Hospitals, Ismailia, Egypt.
Amr
A
Moghazy
D001830:Body Surface Area; D002056:Burns / Q000628:therapy*; D005440:Fluid Therapy / Q000379:methods*; D006295:Health Resources / Q000600:supply & distribution*; D006801:Humans; D015532:Rehydration Solutions / Q000600:supply & distribution; D012151:Resuscitation / Q000379:methods*
D015532:Rehydration Solutions
Burn shock; Resource-limited settings; Resuscitation