NGN Drop-Down

The first priority is to Select…assess and secure the airway with early intubationcover burns with cool wet dressingsobtain a full history from familyadminister IM tetanus prophylaxis, then initiate fluid resuscitation using Select…lactated Ringer's per the Parkland formula0.45% saline slowly to avoid overloadcolloids only for the first 24 hoursoral rehydration with electrolyte drinks.

Using 4 mL × kg × %TBSA, total 24-hour fluid is Select…11,2005,60022,4002,800 mL, with half given in the Select…first 8 hours from the time of injuryfirst 4 hours after arrival to EDlast 8 hours of the 24-hour periodentire 24 hours at an even rate.