Q: After new year night fireworks, 20 year old male is admitted via ED with partial-thickness burns greater than 10% of Total Body Surface Area (TBSA). Why it is important to give constant rate of IVF depending upon calculated fluid requirement (using either Parkland or the modified Brooke formula), and avoid intermittent IV fluid boluses? 


 Answer: Giving IVF boluses instead of constant rate IVF for volume resuscitation in burn patients, may cause vascular collapse and increase the edema. 


 Reference:

 Gueugniaud PY, Carsin H, Bertin-Maghit M, Petit P. Current advances in the initial management of major thermal burns. Intensive Care Med 2000; 26:848.