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August 4, 1962

A Reappraisal of Fluid Therapy in the Burned Patient

Author Affiliations

Ann Arbor, Mich.
From the Department of Surgery, University of Michigan Medical Center.

JAMA. 1962;181(5):361-365. doi:10.1001/jama.1962.03050310001001

Formulas for estimating the requirements of the severely burned patient for water, electrolytes, and colloid solution are used extensively. Although these are useful clinically, indiscriminate application of "burn formulas" may prove detrimental to the individual patient. The authors carried out a detailed study of the fluid therapy which 75 burned patients received during the emergent phase of treatment. The volume and types of fluids actually administered varied importantly from the theoretical requirements as determined by the established formulas. These data indicate that careful individualization of fluid therapy is of paramount importance in the successful management of the burned patient.