10.07.2015 Views

Module 2: Basic Surgical Skills

Module 2: Basic Surgical Skills

Module 2: Basic Surgical Skills

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FLUID RESUSCITATIONNecessary for burns• >15% of total body surface area (TBSA) in adults• >10% of total body surface in children• Use Ringer’s lactate or normal salineThe fluid requirement for the first 24h can be calculated2-4 ml x body weight in kg x %TBSA• Give half in the first 8h and remainder in the next 16h• Children also need maintenance fluids with glucose• Monitor urine output and adjust iv fluids71 |Emergency and Essential <strong>Surgical</strong> Care (EESC) programmewww.who.int/surgery

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