Proper fluid management in burns is critical to survival. But what happens when we administer too little or too much fluid therapy? In this podcast episode, we are joined by Chris Stevenson to discuss epidemiology and appropriate resuscitation for the prehospital provider. Our discussion includes an assessment of past and current formularies and what you should be using:
Pre-Hospital Resuscitation (>20% TBSA)
Adults and older children 14 and older
- 500 ml/hr
- 250 ml/hr
Children 5 and under
- 125 ml/hr
Chris Stevenson, AGACNP-BC, RN, EMT-B is Chief Flight Nurse at Virginia State Police Med-Flight and an ACNP at VCU’s Burn Center. Med-Flight operates under part 91. Their primary mission is conducting scenes and inter-facility medevacs, but they are also tasked with SAR and Police missions. Amongst his vast experience, he had the privilege of admitting patients from the 9/11 attack on the Pentagon while working in DC, and he responded to Katrina to support FEMA search operations. He’s done some time in operations as well as management.