Development of an open-source, protocol-adherent platform for real-time burn fluid resuscitation management

Area of Science:

• Medical Informatics
• Emergency Medicine
• Critical Care Medicine

Background:

• Burn resuscitation demands precise, frequent fluid adjustments based on patient physiology.
• Maintaining accurate fluid titration is challenging without decision support, leading to potential errors.
• Current digital solutions often involve high costs or proprietary hardware, limiting accessibility.

Purpose of the Study:

• To develop an open-access, web-based platform for protocol-driven burn resuscitation.
• To provide a customizable decision support tool for fluid management in acute burn care.
• To simplify the complex workflow of burn resuscitation and standardize care.

Main Methods:

• Developed an open-access, web-based application for fluid resuscitation management.
• Incorporated a customizable interface for adapting protocol parameters (e.g., urine output targets, fluid types).
• Integrated dynamic guidance for fluid rate adjustments and colloid administration prompts, with a real-time patient dashboard.

Main Results:

• The platform offers a customizable and dynamic approach to fluid resuscitation.
• It provides real-time patient data visualization to aid clinical decision-making.
• The tool is designed for ease of use and future integration with Electronic Medical Records.

Conclusions:

• The developed open-access platform simplifies complex burn resuscitation workflows.
• It offers a transparent framework to standardize care and reduce errors in fluid management.
• This tool provides accessible decision support for acute burn management without requiring expensive hardware.