症例 challenge · Emergency / Burns / Critical care · teaching

Major Burns (Parkland) — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on ABA / ABLS

Case #1Emergency / Burns / Critical care

📋 Case data

Airway/inhalation injury risk?No airway risk, resuscitate by TBSA

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Airway/inhalation injury risk?

Any airway/inhalation injury risk?

💡 Treat burns by trauma ABCs first. TBSA: rule of nines (adult head 9%, each arm 9%, anterior and posterior trunk 18% each, each leg 18%, perineum 1%), palm method ~1%, Lund-Browder in children (larger head share); count partial + full thickness only. Parkland: 4 mL × kg × %TBSA lactated Ringer's, timed from injury over 24 h, half in the first 8 h, half over the next 16 h (ABLS 2–4 mL); titrate to urine output (adults 0.5, children <30 kg 1 mL/kg/h), avoid over-resuscitation.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.