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Journal of The Korean Society of Emergency Medicine 2004;15(6): 561-566. |
| Burn Size Estimation and Fluid Resuscitation In the Emergency Department |
| Duck Ho Jun, Dai Hai Choi, Woo Ik Choi |
| Department of Emergency Medicine, Keimyung University, College of Medicine, Taegu, Korea.autojewel@naver.com |
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| ABSTRACT |
PURPOSE:
Assessment of the burn size in the Accident and Emergency Department is one of the most important aspects in the initial care of a burn victims. The purpose of this study was to examine in the Emergency Department the accuracy of burn size estimates and the adequacy of burn-patient fluid resuscitation in relationship to the Parkland formula.
METHODS:
A retrospective study was conducted of 52 adult burn patients who visited the Emergency Department of Keimyung University Dongsan Medical Center during 2003 year.
A substratification of the data was undertaken to compare total burn surface area as estimated by the Emergency-Department staff with that determined by the Burn-Care-Unit staff.
RESULTS:
The average length of stay in the Emergency Department was 394.04 minutes (range: 150~1055 minutes). The average total body surface area evaluated by the Emergency-Department staff was 33.31% compared with the Burn-Care-Unit staff's average of 29.77%, and the difference was statistically significant (p<0.05). During their stays in the Emergency Department, burn patients were underresuscitated based on the fluid volume calculated by using the Parkland formula.
CONCLUSION:
Early communication with the Burn-Care-Unit staff in the Emergency Department and better education of Emergency-Department physicians will markedly improve the overall care of burn patients. |
| Key words:
Burn, Fluid, Emergency department |
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