Soru

A 42-year-old woman is transported to the emergency department after a grease fire erupted at the commercial kitchen where she works. The incident occurred exactly 3 hours before her arrival at the trauma center. She weighs $80 \text{ kg}$. On primary survey, her airway is patent, breathing is spontaneous but tachypneic, and hemodynamics are stable. Physical examination reveals deep partial-thickness and full-thickness burns involving her entire anterior trunk, her entire right arm, and the anterior surface of her right lower extremity. The remainder of her skin is uninjured. Using the traditional Parkland formula ($4 \text{ mL/kg/\%TBSA}$), at what rate (in $\text{mL/hour}$) should the initial intravenous crystalloid infusion be set to deliver the appropriate fluid volume over the remainder of the first 8-hour window?