Fluid resuscitation of Burns

  1. Had a recent case with severe burns of the legs (required an escharotomy) and he was only resuscitated with Compound Sodium Lactate but this was on a background of known alcoholic with comparative hypoalbuminemia. Now I know that it is recommended that the primary fluid is CSL but I am questioning if we should have not given more colloid (This was in a remote facility)

    My other question revolves around early feeding of burns. Because we were going to fly him out in a King Air (in other words not a lot of room and most of the time patients are lain flat) he was made "Nil By Mouth". This went against everything I have ever learnt about burns where we really should have been feeding him early and agressively