Evaluation of Burn Shock Utilizing Compensatory Reserve Measurement: A Prospective Clinical Study
Abstract
Burns occur in 5-10% of combat casualties and are projected to be even more common during multi-domain operations against a peer or near-peer adversary. Furthermore, the initial resuscitation of patients in burn shock takes 24 - 48 hours to complete, is fraught with life- and limb-threatening complications such as compartment syndromes and demands the attention of experienced personnel to execute successfully. Thus, burn-shock resuscitation by medics during prolonged field care will be both highly likely and challenging. Resuscitation of patients burns and other injuries (e.g. traumatic brain injury, pulmonary contusion, amputations) introduce new management trade-offs that in turn increase the difficulty of the task. In response, better ways to monitor burn-shock casualties and to guide their resuscitation are needed for the battlefield. This proposal will evaluate a novel technology, the compensatory reserve measurement (CRM), in patients undergoing active burn-shock resuscitation with or without concomitant traumatic injuries. This prospective observational study of CRM in seriously burned adults will be the first of its kind.
Document Details
- Document Type
- Technical Report
- Publication Date
- Oct 01, 2023
- Accession Number
- AD1221119
Entities
People
- Amanda R Wiggins
Organizations
- Henry M. Jackson Foundation for the Advancement of Military Medicine