Goal: Maintain adequate oxygenation and ventilation, avoid hypotension, trend response to resuscitation. Document blood pressure (BP), heart rate (HR), urine output (UO), mental status, pain, pulse oximetry, and temperature, and record data on a flow sheet (Appendix D).

 

VITAL SIGNS

Best: Portable monitor providing continuous vital-signs display; capnography if intubated; document vital-signs trends frequently (every 15 minutes initially, then every 30–60 minutes once stable for more than 2 hours).

Better: Capnometry in addition to minimum requirements (if intubated).

Minimum: blood-pressure cuff, stethoscope, pulse oximetry, document vital-signs trends frequently.

 

URINE OUTPUT

Urine output (UO) is the main indicator of resuscitation adequacy in burn shock.

Goal: Adjust IV (or oral/rectal intake) rate to UO goal of 30–50mL/h. For children, titrate infusion rate for a goal UO 0.5–1 mL/kg/hr.

Best: Place Foley catheter

Better: Capture urine in premade or improvised graduated cylinder

Minimum: Use other measures

 

NOTE: Electric injury