Development of an open-source, protocol-adherent platform for real-time burn fluid resuscitation management.

Abstract

The management of burn resuscitation requires frequent fluid adjustments based on physiological response. This process is difficult to maintain accurately over time without decision support. Existing digital solutions, however, often present barriers such as high costs or the need for proprietary hardware. To address this, we developed an open-access, web-based platform to assist providers with protocol-driven resuscitation. The application features a customizable interface that allows clinical teams to adapt protocol parameters to match their specific guidelines, including urine output targets and fluid types. Beyond simple tracking, the tool functions as a dynamic guide, recommending rate adjustments and prompting for colloid administration when indicated. The platform also displays a real-time dashboard of the patient's course to aid decision-making. Designed for future integration with Electronic Medical Records, this tool offers a transparent framework to standardize care and simplify the complex workflow of acute burn management. LAY SUMMARY: Treating severe burns requires careful hourly fluid titration that can be complex and prone to errors. The authors created a free web tool to automate and guide resuscitation to help practitioners provide safer, standard care without needing expensive special equipment.