Understanding Burn Shock and Resuscitation

Burn shock is characterized by significant endothelial damage, which leads to fluid loss from the intravascular space. The process of resuscitation is dynamic and requires continual assessment rather than rigid adherence to formulas like the four cc's rule. Instead of relying solely on standard metrics, incorporating tools such as invasive hemodynamic monitoring and ultrasound can provide more accurate guidance in managing fluid resuscitation. This evolving understanding underscores the necessity of adaptable protocols to effectively stabilize burn patients.