An algorithm for responsive fluid resuscitation at the Western Cape Provincial Tertiary Adult Burn Centre

Abstract

Fluid resuscitation and its role in the management of burns patients has an important link to the outcome of these patients and their injuries. The algorithm designed in this research utilises the modified Parklands formula, and includes instances where albumin can limit fluid overload in severe cases that may require large volumes of fluid resuscitation. It is also a schematic intended to be understandable and easy to execute by various staff members, as part of the resuscitation team. As such, it is not all-inclusive, but covers the important areas of fluid balance, and additional measurements to complete the resuscitation process in qualifying patients with burn injuries.