Regarding Critical Care of the Burn Patient: The First 48 Hours
ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
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Letter to the Editor We read with much interest the recent review by Dr. Latenser on the care of burn patients in the first 48 hrs 1. Although the review was well-written, concise, and informative, we believe two assertions deserve clarification. First, Dr. Latenser states that the Parkland formula has been renamed the Consensus formula. This is incorrect. It was first used by the authors of the Advanced Burn Life Support course, in which fluid requirements of burn patients during the first 24 hrs after burn were estimated as 2 to 4 mLkg per percentage total body surface area burn 2. This represents a compromise between physicians who advocated for the Parkland formula which estimates 4 mLkg per percentage burn and those who advocated for the modified Brooke formula which estimates 2 mLkg per percentage burn. Although the Parkland formula is most commonly used in US burn centers, there is no consensus regarding which of the two formulas is superior.
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