In the first 24 hours, urine output should NOT be greater than 60 cc per hour.

The only exception is the output of an electrical burn casualty who has gross myoglobinuria (the cherry-red or black-colored urine caused by dying muscle tissue). Urine output for this casualty should be as high as needed to achieve normal-color urine. When normal-color urine is attained, urine output should be held between 30 to 60 cc per hour.

The most important limits for adequate fluid resuscitation are adequate urine output defined as not less than 30 cc per hour; clear sensorium (the state of being mentally alert and conscious); and blood pressure which is normal for the casualty.

Urine output requirement for the second 24-hour period is much less than the first 24-hour period. Adequate urine output of no more than 30 cc per hour should be maintained. Consider fluid replacement on an individual basis after deciding the amount of fluid the casualty is losing and checking laboratory test results.