Novel Resuscitation Strategies and Technology

Meador, C. Lawrence; Kramer, George C.

doi:10.1007/978-3-030-18940-2_16

Handbook of Burns Volume 1 2019

DOI: 10.1007/978-3-030-18940-2_16

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Novel Resuscitation Strategies and Technology

C. Lawrence Meador

George C. Kramer

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2020

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Cited by 1 publication

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Nurses Can Resuscitate

Cooper

Cochran

Coffey

2020

Journal of Burn Care &Amp; Research

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Fluid resuscitation in the first 48 hours postburn is crucial in the management of burn shock. The primary purpose of this study was to evaluate nurses’ adherence to a nurse-driven fluid resuscitation protocol at one adult burn center. Their secondary goal was to establish that the use of a nursing-driven protocol did not result in over resuscitation. Following implementation of a nurse-driven burn resuscitation protocol, a 48-hour data resuscitation data collection tool was developed by the burn physicians and nurses. All resuscitations were reviewed in real-time and in burn leadership meeting to identify opportunities for improvement. Follow-up with nursing staff was done in real time by the clinical nurse specialist following each burn resuscitation. Twenty-two patients requiring formal fluid resuscitation were included in the review. Patients had a median age of 36.5(IQR: 38.74) years and were predominantly male. They found that in the first 24 hours that patients received 3.47 ml/kg/hr and then in the next 24 hours they received an average of 2.68 ml/kg/hr. All 22 patients’ resuscitation was initiated using the Parkland formula in the emergency department, and nurses were successful in consistently adjusting fluid infusions consistent with the protocol. Using a multidisciplinary approach and preparatory and real-time education processes, burn nurses can successfully guide burn resuscitation. Providing education and follow-up in real time can improve the process.

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Nurses Can Resuscitate

Cooper

Cochran

Coffey

2020

Journal of Burn Care &Amp; Research

View full text Add to dashboard Cite

show abstract

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Novel Resuscitation Strategies and Technology

Cited by 1 publication

References 34 publications

Nurses Can Resuscitate

Nurses Can Resuscitate

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