Medical Diagnostics & Clinical Scoring

Parkland Formula for Burn Resuscitation

Calculate the total intravenous fluid requirements for the first 24 hours in major burn patients using the classic Parkland formula.

Total Fluid (First 24h)
5,600
First 8 Hours Rate350
Next 16 Hours Rate175
Fluid TypeLactated Ringer's

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Parkland Formula Overview

The Parkland Formula is the gold standard for calculating the volume of intravenous fluid (typically Lactated Ringer's) required for the initial resuscitation of a burn patient in the first 24 hours following the injury. Adequate fluid resuscitation is vital to prevent burn shock and maintain end-organ perfusion.

Timing of Administration

  • First 8 Hours: Administer 50% of the calculated total volume (calculated from the time of the burn injury).
  • Remaining 16 Hours: Administer the remaining 50% of the total volume.

Volume (mL) = 4 × Weight (kg) × TBSA (%)

Where:
Weight=
Patient's body weight in kilograms.
TBSA=
Total Body Surface Area burned (second and third degree only).

Frequently Asked Questions

Isotonic crystalloids, specifically Lactated Ringer's (LR), are preferred as they closely mimic the electrolyte composition of plasma.

Fluid resuscitation calculations should be based on the time the burn occurred, not the time the patient arrived at the hospital.