Pediatric Emergency Playbook

Major Burns in Children


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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"

Yin et al. Bedside Escharotomies for Burns

Classic Paragraph

Selected References

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.

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Pediatric Emergency PlaybookBy Tim Horeczko, MD, MSCR, FACEP, FAAP

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