PEM Playbook – Major Burns in Children
- Jun 26th, 2020
- Tim Horeczko
Originally published at Pediatric Emergency Playbook on February 1, 2020 – Reposted with permission – Listen to accompanying podcast on original site
Follow Dr. Tim Horeczko on twitter @EMTogether
Lund and Browder Chart to Estimate Burn Size in Children
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”
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.