Portable Closed Loop Burn Resuscitation System to Optimize and Automate Fluid Resuscitation of Combat Casualties

Burns represent 5-10% of overall military casualties. Burn resuscitation requires large volume and carries the risk of severe complications or mortality resulting from under-resuscitation or over-resuscitation with severe edema and associated conditions. Traditional fluid therapy requires hourly adjustment as the burn pathophysiology changes during the resuscitation phase. Casualty evacuations (CASEVACs) are also performed over multiple hours and caregivers available in the deployed setting often have limited training for and experience of burn care. The result is that many patients who arrive at definitive care facilities are often over- or under- resuscitated.Arcos is developing a portable automated burn resuscitation system, which includes a UO monitor; the already marketed Burn Navigator burn resuscitation decision support algorithms and an infusion pump.Importantly, this system implements several new expertise-based rules extending care directions when patients are not responding to UO goals with IV crystalloid therapy and the system automatically collects UO data and adjust infusion rates several times an hour providing optimal titration of therapy. The system has several smart alarms and alerts when user intervention is needed.The portable automated burn resuscitation system will provide real time expertise and care delivery to serve a DOD mission for combat casualty care.