Do not Talk to Families about Organ Donation Matthew J. Weiss MD Solid-organ transplantation is the therapy of choice for patients with end-organ failure. Despite numerous advances in the field,…

Know How to Estimate Burn Size and Depth John Zannis MD James H. Holmes IV MD Estimating the severity of a burn is important in treating these complicated yet common…

Avoid the Pitfalls of Vascular Access in Burn Patients Myron S. Powell MD James H. Holmes IV MD A burn patient with less than 50% total body surface area (TBSA)…

Do not Under-Resuscitate a Burn Patient Oliver A. Varban MD James H. Holmes IV MD Thermal injuries result in the release of cytokines and other inflammatory mediators at the site…

Have a Low Threshold for Intubating a Patient with an Inhalation Burn Injury Richard Wong She MBCHB James H. Holmes IV MD A burn patient with an inhalation injury has…

Be Aggressive in Mobilizing Burn Wounds Dana Nakamura OT James H. Holmes IV MD Burn patients in the intensive care unit should be seen on admission by the physical and…

Adopt a Philosophy of Early Excision and Grafting of Burn Wounds Jeremy W. Pyle MD James H. Holmes IV MD No measure has had a greater effect on the outcome…

Be Aware of the Pitfalls in the Management of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis Vijay A. Singh MD Stephen M. Milner MD, FACS There is controversy about the classification…

Strongly Consider Escharotomy in Circumferential Burns Richard Wong She MBChB James H. Holmes IV MD Eschar refers to relatively inelastic burned skin. An escharotomy is the procedure of “opening the…

Do not Use Parenteral Nutrition, if at all Possible, in Burn Patients Jeremy W. Pyle MD James H. Holmes IV MD Years of work and hundreds of studies have been…