Burn resuscitation on the African continent

H. Rode, A. D. Rogers, S. G. Cox, N. L. Allorto, F. Stefani, A. Bosco, David G Greenhalgh

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

A survey of members of the International Society of Burn Injuries (ISBI) and the American Burn Association (ABA) indicated that although there was difference in burn resuscitation protocols, they all fulfilled their functions. This study presents the findings of the same survey replicated in Africa, the only continent not included in the original survey. One hundred and eight responses were received. The mean annual number of admissions per unit was ninety-eight. Fluid resuscitation was usually initiated with total body surface area burns of either more than ten or more than fifteen percent. Twenty-six respondents made use of enteral resuscitation. The preferred resuscitation formula was the Parkland formula, and Ringer's Lactate was the favoured intravenous fluid. Despite satisfaction with the formula, many respondents believed that patients received volumes that differed from that predicted. Urine output was the principle guide to adequate resuscitation, with only twenty-one using the evolving clinical picture and thirty using invasive monitoring methods. Only fifty-one respondents replied to the question relating to the method of adjusting resuscitation. While colloids are not available in many parts of the African continent on account of cost, one might infer than African burn surgeons make better use of enteral resuscitation.

Original languageEnglish (US)
Pages (from-to)1283-1291
Number of pages9
JournalBurns
Volume40
Issue number7
DOIs
StatePublished - Nov 1 2014

Fingerprint

Resuscitation
Small Intestine
Body Surface Area
Colloids
Burns
Surveys and Questionnaires
Urine
Costs and Cost Analysis
Wounds and Injuries

Keywords

  • Africa
  • Developing countries
  • Enteral resuscitation
  • Fluid resuscitation
  • Parkland formula
  • Resuscitation in burns

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine
  • Surgery

Cite this

Rode, H., Rogers, A. D., Cox, S. G., Allorto, N. L., Stefani, F., Bosco, A., & Greenhalgh, D. G. (2014). Burn resuscitation on the African continent. Burns, 40(7), 1283-1291. https://doi.org/10.1016/j.burns.2014.01.004

Burn resuscitation on the African continent. / Rode, H.; Rogers, A. D.; Cox, S. G.; Allorto, N. L.; Stefani, F.; Bosco, A.; Greenhalgh, David G.

In: Burns, Vol. 40, No. 7, 01.11.2014, p. 1283-1291.

Research output: Contribution to journalArticle

Rode, H, Rogers, AD, Cox, SG, Allorto, NL, Stefani, F, Bosco, A & Greenhalgh, DG 2014, 'Burn resuscitation on the African continent', Burns, vol. 40, no. 7, pp. 1283-1291. https://doi.org/10.1016/j.burns.2014.01.004
Rode H, Rogers AD, Cox SG, Allorto NL, Stefani F, Bosco A et al. Burn resuscitation on the African continent. Burns. 2014 Nov 1;40(7):1283-1291. https://doi.org/10.1016/j.burns.2014.01.004
Rode, H. ; Rogers, A. D. ; Cox, S. G. ; Allorto, N. L. ; Stefani, F. ; Bosco, A. ; Greenhalgh, David G. / Burn resuscitation on the African continent. In: Burns. 2014 ; Vol. 40, No. 7. pp. 1283-1291.
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