Burn Injury Fluid Resuscitation, Adult (Parkland crystalloid estimate)

 

Input
 

Weight		kg lb
Percent Nonsuperficial Burn Area		Percent

 

Results
 

Total Crystalloid For First 24 Hours		L mL
Rate First 8 Hours		L/hr mL/hr mL/min
Rate Next 16 Hours		L/hr mL/hr mL/min

 

Notes

• Fluid needs calculated according to the Parkland formula provide only a guide to baseline fluid requirements in patients with major burns. Superficial burns are not included in the calculation.
• Patients with burn shock require immediate, aggressive IV fluid resuscitation and their fluid needs can exceed those estimated by the Parkland formula.
• The fluid needs of burn patients vary widely. Use physiologic parameters (e.g. blood pressure, pulse, urine output) to determine the adequacy of fluid resuscitation.
• Children with major burns have additional fluid needs.

 
Equations used
 

TotalCrystalloidForFirst24Hours = 4 * Weight * PercentNonsuperficialBurnArea

RateFirst8Hours = TotalCrystalloidForFirst24Hours / 16

RateNext16Hours = TotalCrystalloidForFirst24Hours / 32

 

 

References

1. Saffle, JR. Practice guidelines for burn care. J Burn Care. 2001; 22(Suppl):i.
2. Slater H, Goldfarb IW. The management of burn trauma: a house staff handbook. Western Pennsylvania Hospital. 2003: p 9-12.