Emergency

Parkland Formula for Burns

Calculates fluid resuscitation requirements for burn patients.

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Parameters

Parkland Formula for Burns Result

Formula

Total 24h Volume = 4 mL × Weight (kg) × TBSA (%)
50% given in first 8 hrs, 50% given in next 16 hrs.

Clinical Pearls

Adequate fluid resuscitation is the most critical intervention in severe burns to prevent hypovolemic shock. Lactated Ringer's is the fluid of choice.

Limitations

The Parkland formula is only a starting point. Titration of fluids should be based on urine output (target 0.5 mL/kg/hr for adults, 1.0 mL/kg/hr for children). Over-resuscitation can lead to compartment syndrome and ARDS.