Major Burns in Children
Published February 1, 2020
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43 min
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    Lund and Browder Chart to Estimate Burn Size in Children

     
     
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    Parkland Formula for Burns

    Amount needed in addition to maintenance fluids:

    4 mL/kg x BSA% = X 

    Add 1/2 of X to maintenance over the 1st 8 hours

    Add the other 1/2 of X to maintenance over the next 16 hours

     

     
     

    Escharotomy Guide and the "Roman Breastplate"

     
     
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    Selected References

    Mahar PD et al. Clinical differences between major burns patients deemed survivable and non-survivable on admisssion. Injury. 2015; 46:870-873.

    Mathis E et al. Pediatric Thermal Burns and Treatment: A Review of Progress and Future Prospects. Medicines. 2017; 4:91.

    Osuka A et al. Glycocalyx shedding is anhanced by age and correlates with increased fluid requirement in patients with major burns. Shock. 2017; 50(1):60-65.

    Sebastian R et al. Percutaneous pigtail catheter in the treatment of pneumothorax in major burns: The best alternative? Burns. 2015; e24-227

    Sherren PB et al. Lethal triad in severe burns. Burns. 2014; 1492-1496.

    Strobel AM et al. Emergency Care of Pediatric Burns. Emerg Med Clin N AM. 2018; 441-458.

     
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