Answer:

Formula	First 24 hrs			Second 24 hrs
	electrolyte	colloid	D5W	electrolyte	colloid	D5W
Moore	Isotonic 75cc/%BBSA	75cc/%BBSA	2 liters	1/2 of 1st 24 hrs	1/2 of 1st 24 hrs	2 liters
Evans	NS 1cc/kg/%BBSA	1cc/kg/%BBSA	2 liters	1/2 of 1st 24 hrs	1/2 of 1st 24 hrs	2 liters
Brooke	LR 1.5cc/kg/%BBSA (If BBSA>50% then use 50%)	0.5cc/kg/%BBSA	2 liters	1/2 of 1st 24 hrs	1/2 of 1st 24 hrs	2 liters
Parkland	LR 4cc/kg/%BBSA	----	----	----	20-60% of calc plasma volume	as needed
Modified Brooke	LR 2cc/kg/%BBSA	----	----	----	0.5 cc/kg/%BBSA	as needed
Hypertonic saline	250mEq Na per liter

(BBSA=burned body surface area)

Current thoughts regarding resuscitation:
- no colloid necessary during 1st 24 hours.  Does restore cardiac output faster, but equally effective after 48 hours; deleterious on lung with increased extravascular lung water and increased late complications.
- all formulas are clinically effective, though many patients require modification (e.g. high voltage injuries, delayed resuscitation, inhalation injury, inebriation require more fluid; patients over 50 or with cardiopulmonary disease may need less).
- hypertonic saline may be of value in decreasing volume loading and promoting excretion of potassium in volume sensitive patients.
- plasma volume deficit in 2nd 24 hrs: 0.3-0.5cc/kg/%body surface burned.
 

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