Burn Injury Fluid Resuscitation, Adult (Parkland crystalloid estimate)

Formula

TotalCrystalloidForFirst24Hours = 4 * Weight * PercentNonsuperficialBurnArea

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.

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.
3. Hettiaratchy S, Papini R. Initial management of a major burn: II–assessment and resuscitation. BMJ. 2004 Jul 10;329(7457):101-3. Review. PubMed ID: 15242917 

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