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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Nurses Can Resuscitate.

Cheryl Cooper1, Amalia Cochran2, Rebecca Coffey2

  • 1Department of Nursing, Burn and Post-Surgical Specialties, The Ohio State University Wexner Medical Center, Columbus, Ohio.

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|August 28, 2020
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Summary
This summary is machine-generated.

Nurses successfully adhered to a nurse-driven fluid resuscitation protocol for burn shock management. This approach ensured appropriate fluid administration, preventing over-resuscitation in adult burn patients.

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Area of Science:

  • Burn critical care
  • Trauma nursing
  • Fluid resuscitation protocols

Background:

  • Fluid resuscitation is critical in the initial 48 hours postburn to manage burn shock.
  • Effective fluid management is essential for optimizing patient outcomes and preventing complications.

Purpose of the Study:

  • To assess nurse adherence to a nurse-driven fluid resuscitation protocol in an adult burn center.
  • To determine if the protocol prevented over-resuscitation.

Main Methods:

  • A 48-hour data collection tool was used to monitor fluid resuscitation.
  • Real-time review of resuscitations and multidisciplinary meetings informed improvements.
  • Clinical nurse specialists provided real-time follow-up and education to nursing staff.

Main Results:

  • Twenty-two adult burn patients requiring fluid resuscitation were included.
  • Nurses consistently initiated resuscitation using the Parkland formula and adjusted infusions per protocol.
  • Average fluid administration was 3.47 ml/kg/hr in the first 24 hours and 2.68 ml/kg/hr in the subsequent 24 hours.

Conclusions:

  • Burn nurses can effectively manage fluid resuscitation using a multidisciplinary, protocol-driven approach.
  • Real-time education and feedback are key to successful protocol implementation and adherence.
  • Nurse-driven protocols ensure appropriate fluid management and prevent over-resuscitation in burn patients.