Some kids with bad burns simply can not ingest the # of calories needed. 
Then they are ng tube fed.  Teens are always sure they can do it and are 
given some time to try, but usually end up on continuous ng feedings to 
simply get in the # of calories they need.  Burn units have a formula for 
figuring this out based on the area burned.  Because a baby has a small body 
surface their needs are usually even higher.  I would pump, spin the milk to 
get high cal. measure with cream-mat-o-crit and then add fortifier.  If baby 
is able to nurse, let him nurse for comfort and tube feed him whatever else 
he needs.  I'm sure a small baby will nurse for comfort, even if being tube 
fed high cal breast milk.
I can't stress enough that the caloric needs are so high for good healing. 
This super feeding is pretty standard. If baby is nursing and mom is pumping 
they should be able to get thru this with support.

What do you all think of breast milk on the burns?????? Pat in SNJ 

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