Burn Injury Fluid Resuscitation, Adult (Parkland crystalloid estimate)

Percent Nonsuperficial Burn Area Percent
Total Crystalloid For First 24 Hours
Rate First 8 Hours
Rate Next 16 Hours
TotalCrystalloidForFirst24Hours = 4 * Weight * PercentNonsuperficialBurnArea
  • 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.
  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.
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