Plastics

Question 1

What is the process of fluid resuscitation in burns?

Answer 1

First 24 hours:

Parkland formula: 2-4ml RL × body weight (kg) × TBSA (%)

• 50% of fluid given in first 8 hours, other 50% in next 16 hours
• Use crystalloid fluid

Next 24 hours:

0. 5ml of 5% albumin × body weight (kg) × TBSA (%)
   * Use colloid fluids

Question 2

Difference between an escharotomy and a fasciotomy

Answer 2

Escharotomy divides circumferential burn tissue to allow perfusion to be maintained.

Fasciotomy divides the muscle fascia to allow muscles to expand and maintain perfusion (for compartment release- release of pressure inside)