Parkland_formula v.1

The Parkland formula for burns is used to estimate fluid requirements during the first 24 hours in burn patients. The formula: TBSA (%) x Wt (kg) x 4mL.

Dennis Forslund

models@cambiocds.com

Cambio Healthcare Systems

To estimate fluid requirements during the first 24 hours in burn patients, and register results generated in accordance with the Parkland formula for burns.

Use to estimate fluid requirements during the first 24 hours in burn patients, and register results generated in accordance with the Parkland formula for burns. Formula: Fluid Requirements = TBSA (%) x Wt (kg) x 4mL TBSA = total body surface area (burn in %) Half of total requirements should be administered during the first eight hours, and the rest over the upcoming 16 hours.

Should only be used as guideline along with clinical assessment. Validation studies have found that although the Parkland formula provides an accurate estimate for the first eight hours of fluid requirements, it underestimated the fluid need for the rest of the time period. However, successful resuscitation was performed by use of the formula, hence it can be used for rough estimation to support clinical assessment.

Baxter CR. Fluid volume and electrolyte changes in the early post-burn period. Clin Plast Surg 1974;1:693–703. Cartotto RC, et. al. How Well Does The Parkland Formula Estimate Actual Fluid Resuscitation Volumes? Journal of Burn Care & Rehabilitation. 2002. Volume 23, Number 4. DOI: 10.1097/01.BCR.0000020449.78548.E0.

OBSERVATION.parkland_formula_for_burns.v1, OBSERVATION.body_weight.v2