Arcos Burn Navigator Guide de configuration
Burn Navigator®
Super User Training Guide
Slides © 2019 Arcos, Inc. June 2019
For Burn Navigator RX
Version V.6.1e-V.6.1h
Super Users
Thank you for being a Super User!
Be sure to also review the basic
Burn Navigator Training Guide
2
Tablet Characteristics
•Rugged
–High heat & humidity capable
–Water & fluid resistant
–Can be used during debridement!
•Battery Life
–6 hours
–you can swap the battery without
shutting down the system
3
4
The pre-hospital
fluids are not used
in the algorithms
However, these fluids are used in the graphs
and the I/O Table
A patient may have urine
in the bladder from
before the burn
5
Choose “Monitor only”
mode for patients:
•<10 kg
•<24 months old
•Other conditions
affecting urine output
We can use Monitor Only
mode data to build future
protocols
6
Primary Fluid types:
The “Primary Fluid” is titrated up
and down.
“Additional Fluids” are not titrated
The Primary Fluid could be an
“albumin protocol”
7
Initial Formula:
Administrators can set the
default starting formula
ABLS guidelines recommend 2
mL/kg/TBSA for most adult
burns
Consider higher starting
rates for:
- Electrical injuries
(4 mL/kg/TBSA)
- Inhalation injuries
This is just for the starting
rate! Later recommendations
are based on UO.
If a formula goes above 2,000 mL/hr,
or below the minimum rate, Burn
Navigator will recommend one of
those limits instead.
8
Fluid updates are due at the top of each clock hour (__:00),
unless the last “To” time was 15 or less minutes ago
E.g., device started at 12:46, next update will be at 14:00
Additional Fluids
9
You’ll see this warning
message anytime
additional fluids are
given, because the
algorithm doesn’t
take those fluids into
account.
However, Burn
Navigator will adjust
down on LR if there is
higher UO due to
additional fluids!
Patient on Pressors?
10
If your patient is on
pressors, ask the
attending doctor
whether you can wean
the patient off pressors
before reducing fluids
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