Critical care of the burn patient robert l sheridan md faap facs current concepts in adult critical care 128 table 1 the american burn association burn center transfer criteria 1 partial thickness burns greater than 10 total body surface area 2 burns that involve the face hands feet genitalia perineum or major joints. Study selection consensus conference findings clinical trials and expert medical opinion regarding care of the critically burned patient were gathered and reviewed studies focusing on burn shock resuscitation goals monitoring tools and current recommendations for initial burn care were examined. Burn victims frequently suffer other trauma which can be obscured by overlying burns see later much of the subsequent care of the burn patient is based on assessment of the extent and depth of injury including fluid resuscitation nutritional requirements surgery and in extreme cases the decision to provide aggressive treatment. Mendations for initial burn care were examined conclusions the critically burned patient differs from other critically ill patients in many ways the most important being the necessity of a team approach to patient care the burn patient is best cared for in a dedicated burn center where resuscitation and
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