Resuscitation Fluids in Burns
The modified Parkland formula gives a starting point for the first 24 hours of fluid therapy in significant burns, however ongoing rates and types of fluid may vary depending on the clinical state of the patient.
|Enter weight (kg):||
Resuscitation fluids are recommended if the TBSA* is >10% in children or >15% in adults.
The resuscitation fluid requirement is calculated from the time of the burn, not the time of presentation.
A minimum urine output of 0.5-1ml/kg/hr (1-2ml/kg/hr in young children) is the aim.
*TBSA = Total burn surface area (see below for how to estimate)
|Enter TBSA* (%):|
|Time since burn (hr):|
|Fluid already given (ml):|
|Delayed presentation, dehydrated
or electrical/inhalation injury?
|Type||Fluid||For first 8hr||For next 16hr||Total in 24hr|
|Maintenance||e.g. 0.9% Saline + 5% glucose|
the Total Burn Surface Area (TBSA)
Ignore superficial erythema and use any of the methods below:
|Rule of Nines||Lund & Browder Chart||Palm + Fingers Method|
Child: For every year of age >1yr up to 10yr, decrease head surface area by 1% and increase each leg by 0.5%
Palm and fingers of the patient's hand = 1% TBSA
Adapted from NSW Health's Burn Transfer Guidelines - NSW Severe Burn Injury Service 2nd Ed. July 2008
Version 1.2 ©2011 A.M.Bonsall.