How to Recognize a Failed Burn Resuscitation

Elisha G. Brownson, Tam N. Pham*, Kevin K. Chung

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

Failed burn resuscitation can occur at various points. Early failed resuscitation will be largely caused by prehospital factors. During resuscitation, failure will present as a patient's nonresponse to adjunctive therapy. Late failure will occur in the setting of multiple organ dysfunction syndrome. Burn care providers must be vigilant during the resuscitation to identify a threatened resuscitation so that adjunctive therapies or rescue maneuvers can be used to convert to a successful resuscitation. However, when a patient's resuscitative course becomes unsalvageable, transition to comfort care should be taken to avoid prolongation of suffering.

Original languageEnglish
Pages (from-to)567-575
Number of pages9
JournalCritical Care Clinics
Volume32
Issue number4
DOIs
StatePublished - 1 Oct 2016
Externally publishedYes

Keywords

  • Burn
  • Death
  • Difficult
  • Failed
  • Morbidity
  • Resuscitation
  • Runaway

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