Parkland formula calculator

Parkland Formula

Parkland Formula — Burn Fluid Resuscitation
Parameter Value
Patient Weight (kg)
TBSA Burned (%)
Results (Lactated Ringer's)
Total 24-hour volume mL
First 8 hours (½ of total) mL
Rate for first 8 hours mL/hr
Next 16 hours (½ of total) mL
Rate for next 16 hours mL/hr
Notes
  • Formula: 4 mL × body weight (kg) × %TBSA burned = total fluid for first 24 hours
  • Give first half over the first 8 hours from time of burn (not from time of presentation)
  • Give second half over the next 16 hours
  • Use Lactated Ringer's solution
  • Titrate to urine output: 0.5–1 mL/kg/hr in adults; 1 mL/kg/hr in children
  • This is a starting point — adjust based on clinical response
References
  • Baxter CR, Shires T. Physiological response to crystalloid resuscitation of severe burns. Ann N Y Acad Sci. 1968;150:874-894. PMID 4973463.
  • Saffle JI. The phenomenon of fluid creep in acute burn resuscitation. J Burn Care Res. 2007;28:382-395. PMID 17438489.

References

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