Fluid resuscitation regimen adapted from Mount Vernon formula

Note: this regimen should be used as a guide only.

1. Divide first 36h from the time of burn into six consecutive periods of 4, 4, 4, 6, 6 and 12h. For each period give 0.5ml 4.5-5% albumin x body wt [kg] x %burn

2. Give blood as necessary to maintain haemoglobin >10g/dl.

3. Commence enteral nutrition as soon as possible

5. Reassess cardiorespiratory variables and urine output at frequent intervals to determine whether volume replacement is inadequate or excessive. Adjust fluid input as necessary.

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