Document Detail


An algorithmic approach to the management of cutaneous burns.
MedLine Citation:
PMID:  1642766     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An algorithm of fluid resuscitation for cutaneous burns is presented. The management of these cases entails an initial process of evaluation followed, when appropriate, by the administration of intravenous fluids. The fluid requirements are prospectively calculated and subsequently modified by using closed loop feedback with monitoring of urine output, plasma deficit, osmolality and vital signs. Three 'problem boxes' have been incorporated into the algorithm to outline the management of: 1. fluid deficit and excess; 2. acute renal failure; 3. the critically ill patient. An algorithm such as this can never be complete, but in its present form it provides both a teaching tool for junior staff as well as a valuable clinical aid for those involved in the acute management of burns patients.
Authors:
J G Miller; H R Carruthers; D A Burd
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  18     ISSN:  0305-4179     ISO Abbreviation:  Burns     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-09-08     Completed Date:  1992-09-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  200-11     Citation Subset:  IM    
Affiliation:
Department of Plastic Surgery, Withington, Hospital, Manchester, UK.
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MeSH Terms
Descriptor/Qualifier:
Algorithms*
Burns / physiopathology,  therapy*
Fluid Therapy*
Hemodynamics
Humans
Infusions, Intravenous
Skin / injuries

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