Question

You are treating a 27-year old male in respiratory distress who was involved in a house fire. Calculating TBSA burned is deferred d/t the need for emergent intubation. At what rate should you begin fluid resuscitation?

Answer 1

In cases of severe burns, the rate of fluid resuscitation is determined based on the total body surface area (TBSA) burned. Calculation of TBSA burned is deferred in this case due to the need for emergent intubation. Once intubation is completed, the TBSA burned can be calculated using the Rule of Nines or Lund-Browder Chart, and the fluid resuscitation rate can be determined accordingly.

Step-by-step explanation:

In cases of severe burns, fluid resuscitation is critical to restore fluid balance and prevent dehydration and shock. The rate of fluid resuscitation is determined by the Parkland Formula, which states that the initial 24-hour fluid requirement is 4 mL/kg/%TBSA (total body surface area) burned. The calculation is deferred in this case due to the need for emergent intubation.

Once intubation is completed, the TBSA burned can be calculated using the Rule of Nines or Lund-Browder Chart. The fluid resuscitation rate will then be determined based on the calculated TBSA burned. It is important to consult with a burn specialist or follow established burn treatment protocols to determine the appropriate fluid resuscitation rate for the specific patient.