Table 1 Burn Shock Resuscitation Guidelines:

- Adults and children with burns greater than 20% Total Body Surface Area (TBSA) should undergo formal fluid resuscitation using estimates based on body size and surface area burned - !ommon formulas used to initiate resuscitation estimate a crystalloid need of 2 to " m#$%g body weight$% TBSA during the first 2" hours -&luid resuscitation' regardless of solution ty(e or estimated need' should be titrated to maintain a urine out(ut of a((ro)imately 0 *-+ 0 m#$%g$hr in adults and + 0-+ * m#$%g$hr in children - ,aintenance fluids should be administered to children in addition to their calculated fluid re-uirements caused by in.ury - /ncreased 0olume re-uirements can be antici(ated in (atients with full-thic%ness in.uries' inhalation in.ury and a delay in resuscitation

Options:
- The addition of colloid-containing fluid following burn in.ury' es(ecially after the first +2 to 2" hours (ostburn' may decrease o0erall fluid re-uirements - 1ral resuscitation should be considered in awa%e alert (atients with moderately sized burns and is worthy of further study - 2y(ertonic saline should be reser0ed to (ro0iders e)(erienced in this a((roach 3lasma sodium concentrations should be closely monitored to a0oid e)cessi0e hy(ernatremia - Administration of high-dose ascorbic acid may decrease o0erall fluid re-uirements' and is worthy of further study J Burn Care Res 2008; 29:257-266 Reference #12