For children suffering burn injuries, what multiplier is used with Total Body Surface Area (TBSA) to determine fluid resuscitation for the first 24 hours?

In cases of burn injuries, calculating the appropriate fluid resuscitation during the first 24 hours is critical for the management of the patient. The commonly used method for determining fluid needs is based on the patient's Total Body Surface Area (TBSA) that has been burned.

For children, the guideline states that the fluid resuscitation should involve a multiplier of 3 times the TBSA percentage for the first 24 hours. This calculation helps ensure that the child receives sufficient fluids to counteract the fluid loss due to burns, which can lead to shock and other complications if not managed properly.

Using this approach, for example, if a child has suffered burns covering 30% of their TBSA, the calculation for fluid resuscitation would be 3 mL of a suitable crystalloid solution per kilogram of body weight per percentage of burn. This method is derived from established pediatric burn care protocols and is supported by evidence in the field of emergency medicine and trauma care.

Understanding the importance of this formula allows healthcare providers to effectively assess and implement critical interventions during the early and most vulnerable phase of burn injury management.