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Calculator: Adult burn injury fluid resuscitation (Parkland crystalloid estimate)


 Calculator: Adult burn injury fluid resuscitation (Parkland crystalloid estimate)

 
Input
 
Weight  
% burn area deeper than epidermis  

 
Results
 
Important: Inputs must be complete to perform calculation.

 
 
Total crystalloid for first 24 hours  
 
Rate first 8 hours  
Rate next 16 hours  
 

 
 

 
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 (eg, blood pressure, pulse, urine output) to determine the adequacy of fluid resuscitation.
  • Children with major burns have additional fluid needs.
  • Burns deeper than the epidermis include full thickness, deep partial thickness, and superficial partial thickness burns.
  • IV: intravenous.

 
Equations used
 
Total_crystalloid_for_first_24_hours[mL] = 4 * Weight[kg] * % burn area deeper than epidermis
Rate_first_8_hours[mL/hr] = Total_crystalloid_for_first_24_hours[mL] / 16
Rate_next_16_hours[mL/hr] = Total_crystalloid_for_first_24_hours[mL] / 32

 

 
References
  1. Saffle JR. Practice guidelines for burn care. J Burn Care 2001; 22(Suppl):i.
  2. Baxter CR, Shires GT. Physiological response to crystalloid resuscitation of severe burns. Ann N Y Acad Sci 1968; 150:874.
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