When should fluid resuscitation begin for burn injuries?

Fluid resuscitation for burn injuries should begin at the time of the burn injury because prompt treatment is crucial in preventing hypovolemic shock and maintaining adequate tissue perfusion. The pathophysiology of burns involves significant fluid loss through damaged skin, leading to systemic fluid shifts and potential complications. Initiating fluid resuscitation as soon as possible helps to stabilize the patient's hemodynamics, prevent complications associated with burn shock, and supports the restoration of circulating blood volume.

Timely fluid resuscitation is especially important in cases of severe burns, where fluid loss can rapidly lead to cardiovascular collapse. Therefore, starting fluid resuscitation at the time of the injury helps to mitigate the extent of tissue damage and improves overall outcomes.

While resuscitation fluid administration is continued in the hospital setting, beginning immediately upon injury ensures that the patient's physiological status is managed from the onset of trauma.