why is morality increased in pts w <20% total surface area burns
its increased in pts who do not receive appropriate fluid resuscitation immediately following the injury
fluid resuscitation
highly important in the initial management of 2nd & 3rd degree burns as complications of renal failure, myoglobinuria, hemoglobinuria, & multi-organ failure may arise if not aggressively tx early
the parkland formula
-calculates the total volume of iv fluids necessary in the 1st 24 hrs as 4ml per kg multiplied by tbsa as a decimal
-elderly pts have an increased morality rate as well as those w larger tbsa 2nd & 3rd degree burns