Behind The Knife: The Surgery Podcast4 Aug 2025

Journal Review in Burn Surgery: Fluid Resuscitation

You’re on call at a level I trauma center and you get called that you’re receiving a large TBSA burn patient – you’re not working at a burn center! You remember hearing about some controversy surrounding burn resuscitation – was it the parkland formula? Consensus formula? ABSITE asked about the Modified Brooke Formula?!? Join Dr. Kathleen Romanowski, Dr. Laura Johnson, Dr. Victoria Miles, and Dr. Lauren Nosanov to discuss modern burn fluid resuscitation!

Hosts:
· Kathleen Romanowski – University of California Davis Hospital, Shriners Hospital Sacramento
· Laura Johnson – Grady Memorial Hospital
· Lauren Nosanov – Grady Memorial Hospital
· Victoria Miles – Louisiana State University Health Science Center, University Medical Center New Orleans

Learning Objectives:
· Review the basics of initial burn fluid resuscitation
· Evaluate the literature informing national burn fluid resuscitation guidelines
· Consider the causes of failed burn resuscitation and strategies for identifying these complications

References:
· Pham TN, Cancio LC, Gibran NS. American Burn Association Practice Guidelines Burn Shock Resuscitation. J Burn Care Res. 2008: 257-266. doi:10.1097/jbcr.0b013e31815f3876. https://pubmed.ncbi.nlm.nih.gov/18182930/
· Rizzo JA, Coates EC, Serio-Melvin ML, et al. Higher Initial Formula for Resuscitation After Severe Burn Injury Means Higher 24-Hour Volumes. J Burn Care Res. 2023:1017-1022. doi:10.1093/jbcr/irad065. https://pubmed.ncbi.nlm.nih.gov/37339255/

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