American Burn Association practice guidelines burn shock resuscitation.

Guidelines • Adults and children with burns greater than 20% TBSA should undergo formal fluid resuscitation using estimates based on body size and surface area burned. • Common formulas used to initiate of resuscitation estimate a crystalloid need for 2 to 4 ml/kg body weight/%TBSA during the first 24 hours. • Fluid resuscitation, regardless of solution type or estimated need, should be titrated to maintain a urine output of approximately 0.5–1.0 ml/ kg/hr in adults and 1.0–1.5 ml/kg/hr in children. • Maintenance fluids should be administered to children in addition to their calculated fluid requirements caused by injury. • Increased volume requirements can be anticipated in patients with full-thickness injuries, inhalation injury, and a delay in resuscitation.