🔥 Parkland Formula (Burn Resuscitation)
UseInitial crystalloid resuscitation in significant burns.
StrataUse the calculated volume as a starting crystalloid estimate, then titrate to urine output (~0.5 mL/kg/h in a…
LimitsExclude first-degree burns from %TBSA; overestimation drives fluid cr… · Clock starts at the burn, not at ED arrival — subtract already-given … · Escalate early for inhalation injury, delayed presentation, or oligur…
SourceABA Burn Shock CPG 2024 doi:10.1093/jbcr/irad125
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
A starting estimate — titrate to urine output (~0.5 mL/kg/h adults).
When to use
Initial crystalloid resuscitation in significant burns.
How it works
Total = 4 mL × weight(kg) × %TBSA (2nd/3rd degree); give half in the first 8 hours from the time of the burn.
Key points
- A starting estimate — titrate to urine output (~0.5 mL/kg/h adults).
- Time runs from the burn, not from arrival.
- Exclude superficial (first-degree) burns from %TBSA.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Weight | 70 kg |
|---|---|
| % TBSA burned (2nd/3rd degree) | 30 % |
→24h crystalloid8400mL
- First 8 hours：4200 mL (525 mL/h)
- Next 16 hours：4200 mL
- Formula：4 mL × weight(kg) × %TBSA; half in first 8 h from time of burn
Verification & sources · governance
FAQ
Frequently asked questions
- Does Parkland Formula (Burn Resuscitation) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Parkland Formula (Burn Resuscitation) calculated in practice? Can you show a worked example?
- Inputs: Weight 70 kg, % TBSA burned (2nd/3rd degree) 30 % → Result: 24h crystalloid 8400 mL（First 8 hours: 4200 mL (525 mL/h), Next 16 hours: 4200 mL, Formula: 4 mL × weight(kg) × %TBSA; half in first 8 h from time of burn）