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Burn Critical Care


Volume overload of fluid resuscitation in acutely burned patients using transpulmonary thermodilution technique.
Aboelatta Y, Abdelsalam A.
J Burn Care Res. 2013 May-Jun;34(3):349-54.

Rationale for inclusion: Comparison of resuscitation endpoint paramenters; physiologic v classic (Parkland). Significant over resuscitation using physiologic parameters, suggesting "normal" is the wrong endpoint during a burn resuscitation.

CAVEAT: Small volume of patients

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Review of a fluid resuscitation protocol: "fluid creep" is not due to nursing error.
Faraklas I, Cochran A, Saffle J.
J Burn Care Res. 2012 Jan-Feb;33(1):74-83.

Rationale for inclusion: PI project turned study evaluating effectiveness of nurse-driven resuscitation protocol for burns. Good evaluation of crystalloid vs colloid, discussion, etc.

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Electrocardiographic monitoring after electrical injury: necessity or luxury.
Purdue GF, Hunt JL.
J Trauma. 1986 Feb;26(2):166-7.

Rationale for inclusion: Report of 48 consecutive patients who sustained a high-voltage electrical injury. In this observational cohort, no patient with a normal EKG on admission had a serious arrythmia in the 24 hours of monitoring post-injury. This study informs current common practice at many centers across the country. 

CAVEAT: Retrospective, single-center study

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

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