Usual trauma evaluation and resuscitation applies
Use Parkland formula as starting point for fluid resuscitation
Fluids in first 24 hrs = [[TBSA]] burned(%) x Wt(kg) x 4ml; Give 1/2 in first 8 hours, then give other 1/2 over next 16 hrs
Parkland formula frequently underestimates fluid requirements in<unk>  burns
In healthy individuals start continuous fluids at 300-500 mL/hr and titrate to urine output of 100 mL/hr
Treat rhabdomyolysis and compartment syndrome in usual manner
If RBCs and/or myoglobin in UA, urine should be alkalinized at minimum of 2 cc/kg/hr until pigments eliminated
Mannitol should be given early to prevent renal tubular damage but patient must remain adequately fluid resuscitated
High voltage injuries to the hand frequently require carpal tunnel decompression as soon as patient is stable for OR
Fluids in first 24 hrs = [[TBSA]] burned(%) x Wt(kg) x 4ml; Give 1/2 in first 8 hours, then give other 1/2 over next 16 hrs
Parkland formula frequently underestimates fluid requirements in<unk>  burns
In healthy individuals start continuous fluids at 300-500 mL/hr and titrate to urine output of 100 mL/hr
If RBCs and/or myoglobin in UA, urine should be alkalinized at minimum of 2 cc/kg/hr until pigments eliminated
Mannitol should be given early to prevent renal tubular damage but patient must remain adequately fluid resuscitated
High voltage injuries to the hand frequently require carpal tunnel decompression as soon as patient is stable for OR
Electrical injuries
Smoke inhalation injury 
Cold injuries
Chemical injury
Trauma 
Acrolein
Lightning injuries
Hydrochloric acid