Plasma Resuscitation Early for Evaluating Volume and Endotheliopathy of Thermal Injury (PREEVEnT) Trial

The Plasma Resuscitation Early for Evaluating Volume and Endotheliopathy of Thermal Injury (PREEVEnT) trial will be a 5-year (3-year enrollment), open label, phase-3, multi-center, early in-hospital phase randomized trial utilizing burn centers from within the LITES network and will enroll approximately 750 injured adult patients who have suffered large 2nd or 3rd degree thermal burns on at least 20% of their body surface requiring burn resuscitation. The objective is to determine if initiating plasma resuscitation as soon as possible upon arrival to an emergency department or burn unit is the most effective resuscitation for those who have experienced large thermal burns and significantly reduces the morbidity and mortality attributable to post-injury complications as compared to standard in-hospital resuscitation practice.

Inclusion Criteria: * Estimated ≥ 20% Total Body Surface Area burn/thermal injury with 2nd or 3rd degree depth * Anticipated admission to burn ICU Exclusion Criteria: * Estimated rBaux score \24 hours * Wearing NO PREEVENT opt-out bracelet * Age \> 75 or \< 18 years of age * Concomitant traumatic injury with hemorrhagic shock * Isolated chemical burn/injury * Isolated deep electrical burn/injury * Known prisoner * Known pregnancy * Cardiac arrest with \> 5 continuous minutes of CPR * Concern for anoxic injury/ fixed pupils bilaterally * Objection to study voiced by subject or family member at the scene or at the emergency department/burn center