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dc.contributor.authorLeclerc, Thomas
dc.contributor.authorPotokar, Tom
dc.contributor.authorHughes, Amy
dc.contributor.authorNorton, Ian
dc.contributor.authorAlexandru, Calin
dc.contributor.authorHaik, Josef
dc.contributor.authorMoiemen, Naiem
dc.contributor.authorAlmeland, Stian Kreken
dc.date.accessioned2022-04-05T07:53:43Z
dc.date.available2022-04-05T07:53:43Z
dc.date.created2021-07-06T15:27:58Z
dc.date.issued2021
dc.identifier.issn0305-4179
dc.identifier.urihttps://hdl.handle.net/11250/2989794
dc.description.abstractBackground Burn fluid resuscitation guidelines have not specifically addressed mass casualty with resource limited situations, except for oral rehydration for burns below 40% total body surface area (TBSA). The World Health Organization Technical Working Group on Burns (TWGB) recommends an initial fluid rate of 100 mL/kg/24 h, either orally or intravenously, beyond 20% TBSA burned. We aimed to compare this formula with current guidelines. Methods The TWGB formula was numerically compared with 2–4 mL/kg/%TBSA for adults and the Galveston formula for children. Results In adults, the TWGB formula estimated fluid volumes within the range of current guidelines for burns between 25 and 50% TBSA, and a maximal 20 mL/kg/24 h difference in the 20–25% and the 50–60% TBSA ranges. In children, estimated resuscitation volumes between 20 and 60% TBSA approximated estimations by the Galveston formula, but only partially compensated for maintenance fluids. Beyond 60% TBSA, the TWGB formula underestimated fluid to be given in all age groups. Conclusion The TWGB formula for mass burn casualties may enable appropriate fluid resuscitation for most salvageable burned patients in disasters. This simple formula is easy to implement. It should simplify patient management including transfers, reduce the risk of early complications, and thereby optimize disaster response, provided that tailored resuscitation is given whenever specialized care becomes available.en_US
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleA simplified fluid resuscitation formula for burns in mass casualty scenarios: Analysis of the consensus recommendation from the WHO Emergency Medical Teams Technical Working Group on Burnsen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2021 The Authorsen_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.doi10.1016/j.burns.2021.02.022
dc.identifier.cristin1920521
dc.source.journalBurnsen_US
dc.source.pagenumber1730-1738en_US
dc.identifier.citationBurns. 2021, 47 (8), 1730-1738.en_US
dc.source.volume47en_US
dc.source.issue8en_US


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