An 18-year-old male is brought to the emergency department by the emergency medical services (EMS) after suffering severe injuries as a passenger in an automobile accident. The driver apparently lost control of the vehicle and ran off the road into a tree. The driver and passenger were found soon after by a passerby when the car caught on fire. Due to the force and extensive damage to the vehicle, both passengers were trapped until they could be extracted by emergency personnel, 20 minutes after the accident.
Upon initial survey, the patient complains of shortness of breath. No open fractures are seen, and there is no evidence of traumatic blood loss. There are several superficial lacerations on his face and hands. The patient has sustained …show more content…
The patient weighs 100 kg; therefore, he will need 21,600 mL of fluid over the next 24 hours. Over the first 8 hours, 10,800 mL will need to be given. Because he arrived 2 hours after he sustained his burns, the 10,800 mL will need to be given over the next 6 hours, which amounts to 1,800 mL/hr. 100 kg x 4 mL x 54% = 21,600 mL 10,800 mL over the next 6 hours = 1,800 mL/hr
Choice “A" is not the best answer. 1,350 mL/hr would be the fluid rate if the physician forgets to account for the 2-hour delay from the onset of the burns. This fluid rate would not be sufficient to keep the patient hemodynamically stable. 100 kg x 4 mL x 54% = 21,600 mL 10,800 mL over the first 8 hours = 1,800 mL/hr (not considering 2 hours that have past)
Choice "B" is not the best answer. 1,400 mL/hr would not be sufficient to keep the patient hemodynamically stable.
Choice "C" is not the best answer. 1,575 mL/hr would not be sufficient to keep the patient hemodynamically stable. This would be the correct fluid rate if first-degree burns were included in Parkland’s formula and the time since the burns had not been considered. 100 kg x 4 mL x 58.5% = 25,200 mL 12,600 mL over the first 8 hours = 1,575 mL/hr for the first 8
Upon initial survey, the patient complains of shortness of breath. No open fractures are seen, and there is no evidence of traumatic blood loss. There are several superficial lacerations on his face and hands. The patient has sustained …show more content…
The patient weighs 100 kg; therefore, he will need 21,600 mL of fluid over the next 24 hours. Over the first 8 hours, 10,800 mL will need to be given. Because he arrived 2 hours after he sustained his burns, the 10,800 mL will need to be given over the next 6 hours, which amounts to 1,800 mL/hr. 100 kg x 4 mL x 54% = 21,600 mL 10,800 mL over the next 6 hours = 1,800 mL/hr
Choice “A" is not the best answer. 1,350 mL/hr would be the fluid rate if the physician forgets to account for the 2-hour delay from the onset of the burns. This fluid rate would not be sufficient to keep the patient hemodynamically stable. 100 kg x 4 mL x 54% = 21,600 mL 10,800 mL over the first 8 hours = 1,800 mL/hr (not considering 2 hours that have past)
Choice "B" is not the best answer. 1,400 mL/hr would not be sufficient to keep the patient hemodynamically stable.
Choice "C" is not the best answer. 1,575 mL/hr would not be sufficient to keep the patient hemodynamically stable. This would be the correct fluid rate if first-degree burns were included in Parkland’s formula and the time since the burns had not been considered. 100 kg x 4 mL x 58.5% = 25,200 mL 12,600 mL over the first 8 hours = 1,575 mL/hr for the first 8