Emergency MedicineSurgery
Burns — TBSA Estimation & Fluid Resuscitation
Adult burns — Wallace rule of nines, Lund-Browder, Parkland formula, escharotomy, referral criteria.
Source: British Burn Association; EMSB; RCEM 2024
Used in: Burns
Step 1 of ~7
info
Initial Resuscitation
ABCDE. High-flow oxygen via non-rebreather. Suspect inhalation injury if facial burns, singed nasal hair, soot in airway, hoarse voice, stridor, carbonaceous sputum — early intubation by senior anaesthetist (airway swelling progresses rapidly).
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Lipid Emulsion 20% (Intralipid) · Antidote / Resuscitation
- Lipid Emulsion 20% (Intralipid) · Antidote / Resuscitation
- Potassium chloride with calcium chloride and sodium chloride · Crystalloid IV fluid
- Potassium chloride with calcium chloride sodium chloride and sodium lactate · Balanced crystalloid IV fluid
- Potassium chloride with glucose · IV fluid (potassium + dextrose)
- Potassium chloride with glucose and sodium chloride · IV fluid (mixed)
Pathways
- Difficult Airway Algorithm (DAS) · DAS 2015; Royal College of Anaesthetists
- Major Haemorrhage Protocol · NICE NG24; UK MHP guidelines
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Featured in these MRCEM clinical pathways
A deeper exam-focused version of this pathway is available on our sister siteReviseMRCEM.
MRCEM Primary / Intermediate / OSCE candidates: each pathway includes exam-style questions, RCEM/NICE citations, and FAQ summaries.
Decision support only. Always apply local guidelines and clinical judgement.