Figure 2

Protocol for Fluid Resuscitation of the Adult Burn Patient (Begin LR Using Burn Center Fluid Resuscitation Calculations). Protocol for fluid resuscitation of adult burn patients. In response to requests from nursing, this protocol was developed to permit nursing staff to manage fluid resuscitation of acute burn patients. Initial fluid rates are calculated by the Parkland formula. Nurses begin hourly infusion, measure urine output, and adjust fluids according to patient response. Development of unstable vital signs, inadequate response to fluids, or persistently high fluid requirements prompt a call to the physician. A pathway to begin colloid replacement exists for patients who display increasing fluid requirements or develop evidence of torso compartment syndrome.