Prehospital smärtbehandling hos patienter med misstänkt höftfraktur
en retrospektiv journalstudie
SummaryPatients with burn injuries involving more than 20 percent of the total body surface area lose a lot of fluid and are in the risk of developing a severe hypovolemia. Fluid resuscitation is a corner stone in burn care and is important for preventingfurthercomplications. The most common resuscitation formula is the Parkland Formula. Hourly urine output is a measure used to evaluate if the fluid given is sufficient enough to maintain a sustainable tissue perfusion. Inhalation injury, abuse of alcohol and drugs are some of the factors that may increase the amountoffluid needed. The purposefor this study is to study thecompliance to fluid resuscitation guidelines at a burn unit and which factors lead to deviation from the guidelines.Patient charts for 38 patients with burn injury >20%, > 18 years of age with a length of stay >48 hours, were reviewed regarding size of burn injury, hourly amount of fluid given, hourly urine output and presence of inhalation injury.Statistic significancewas found between the mean values of the differences in percentage between actual and calculated fluid amount for the first 24 hours. The differences in percentage between actual and calculated hourly urine output did not reach statistic significance.The result shows complianceto the fluid resuscitation guidelines. A larger sample would be required in order to investigate which factors causing deviations from the guidelines.