Accuracy of burn size estimation and subsequent fluid resuscitation prior to arrival at the Yorkshire Regional Burns Unit. A three year retrospectivestudy

The accuracy of burn size estimation and subsequent fluid administration by referring hospitals prior to arrival at the Yorkshire Regional Burns Unit over a three-year period was assessed retrospectively. Burns around 20% bod y surface area were most accurately assessed, with smaller burns being over estimated and larger burns underestimated. Inaccuracies in fluid resuscitat ion result in, on average, patients receiving twice the appropriate Volume of fluid for the burn size. The possible causes, implications and solutions to these problems are discussed. (C) 1999 Elsevier Science Ltd and ISBI. A ll rights reserved.