ABA Burn Shock Resuscitation 2024 — American Burn Association Clinical Practice Guidelines on Burn Shock Resuscitation

For adults with burns >=20% TBSA, initiate crystalloid resuscitation using 2 mL/kg/%TBSA as the starting estimate and titrate to the patient's evolving perfusion and resuscitation response. Consider human albumin, particularly in larger burns, to reduce crystalloid volume and improve urine output. Use selective intra-abdominal and intraocular pressure monitoring rather than routine monitoring in every patient. Evidence was insufficient for firm recommendations on high-dose vitamin C, fresh frozen plasma, early CRRT, or vasopressors as routine adjuncts to burn-shock resuscitation.