Page 111 - Journal of Special Operations Medicine - Winter 2016
P. 111
Calculate max 24hr volume (250mL × kg) Avoid overresuscitation, use adjuncts if necessary Pressors (Vasopressin 0.04 U/min) Bladder Pressure (Q4)
Calculate Rule of Tens (if >40<80kg, %TBSA × 10 = starting rate for LR BAMC/ISR Burn Team DSN 312-429-2876: Yes No MAP (>55) / CVP (6–8mmHg)
(Do not include superficial Heart Rate *Titrate LR hourly to maintain adequate UOP (30-50mL/hr) and tissue perfusion
%TBSA 1st degree burn) Base Deficit / Lactate BAMC/ISR, Brooke Army Medical Center/Institute of Surgical Research; CVP, central venous pressure; est wt, estimated weight; HR, heart rate; LR, lactated Ringer’s solution; MAP, mean arterial
Initial Treatment Facility Preburn est. wt (kg) UOP (Target 30-50mL/hr) Total
Appendix D Joint Trauma System (JTS) Burn Resuscitation Flow Sheet
SSN
Crystalloid* (LR) / Colloid
Local Time
Date and Time of Injury pressure; max, maximum; Tx, therapy; UOP, urine output.
Name HR from burn 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th Total Fluids: (Use adjuncts if >24hr max)
Date Tx Site/ Team
PFC Guideline: Burn Management 95
