Abstract
THERE is considerable discussion regarding immediate plasma, electrolytes and fluid replacement in the acute phase after burns. Intravenous input of saline was begun by Reiss in 1880, and later in 1897 was advocated by Tommasoli (Hauben et al., 1981), when hypovolaemic shock and its sequelae were under study. Plasma, electrolytes and fluids have been established as routine formulae (e.g. Evans, Brooke, Parkland and Odstock formulae), differing from each other in their various constituents. The aim of this paper is to present the four main contemporary concepts regarding the efficient and ideal treatment to be given during the shock period in the acute phase after burns, as expressed by four teams treating burns in their acute and critical phase.
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