Resuscitation

Abdominal compartment syndrome (ACS) is a life-threatening complication of burn resuscitation, occurring in 4-17% of severely burned patients and carrying mortality rates exceeding 70%. Large TBSA bur

Colloids, primarily albumin, reduce total crystalloid requirements during burn resuscitation by maintaining intravascular oncotic pressure. Albumin is the most studied colloid in burns, used either as

Escharotomy and fasciotomy are decompressive procedures indicated when circumferential full-thickness burns produce limb- or life-threatening compartment pressure. Escharotomy incisions extend through

Extremity compartment syndrome in burns results from circumferential full-thickness eschar restricting tissue expansion beneath the fascia, compounded by edema from fluid resuscitation. Clinical asses

Fluid resuscitation in major burns targets 2 cc/kg/%TBSA crystalloid in the first 24 hours, titrated to urine output of 30-50 cc/hr. The Parkland formula is a starting point, not a destination. Fluid

Fresh frozen plasma (FFP) is increasingly used as a colloid adjunct in burn resuscitation, offering both oncotic and hemostatic properties. FFP may address burn-induced endotheliopathy and coagulopath

Hypothermia affects one in five burn patients on admission and independently increases mortality by 5% per degree Celsius below 36.0, even after controlling for burn size and inhalation injury. Preven

Hourly urine output (30-50 mL/hr in adults) remains the standard endpoint for titrating burn resuscitation, though it is an imperfect measure of tissue perfusion. Adjunctive monitoring including lacta

Vascular access in burn patients is complicated by burned skin, edema, and the prolonged need for high-volume resuscitation and vasoactive medications. Peripheral IVs through burned skin are acceptabl