Parkland Formula Calculator
Fluid resuscitation for burn patients
Patient Assessment
Enter patient details to calculate fluid requirements:
Fluid Resuscitation Plan
Total Fluid Requirement (first 24 hours):
Parkland Formula Calculation:
Fluid Administration Schedule
Clinical Note: The Parkland Formula provides initial guidance for fluid resuscitation. Always adjust based on patient response, urine output (target: 0.5-1 mL/kg/hr), vital signs, and clinical status. Children may require additional maintenance fluids.
About the Parkland Formula
What is the Parkland Formula?
The Parkland Formula is a widely used method for calculating the initial 24-hour fluid replacement needs for burn patients. It helps prevent shock and organ failure in major burn injuries.
Parkland Formula
4 mL × Body Weight (kg) × % TBSA burned
- Half of the total volume is given over the first 8 hours from the time of burn
- The second half is given over the subsequent 16 hours
- Fluid of choice: Lactated Ringer’s solution
Rule of Nines for Adults
| Body Part | Percentage |
|---|---|
| Head and Neck | 9% |
| Anterior Trunk | 18% |
| Posterior Trunk | 18% |
| Each Arm | 9% |
| Each Leg | 18% |
| Genitalia/Perineum | 1% |
Indications for Use
- Thermal burns >15-20% TBSA in adults
- Thermal burns >10-15% TBSA in children
- Electrical burns
- Chemical burns with significant tissue damage
Monitoring Parameters
- Urine output: Target 0.5-1 mL/kg/hr (adults)
- Heart rate and blood pressure
- Mental status
- Base deficit and lactate levels
- Pulmonary status (watch for fluid overload)
Special Considerations
- Adjust for inhalation injury (may need more fluid)
- Children require maintenance fluids in addition to resuscitation
- Elderly patients and those with cardiac/renal disease need careful monitoring
- Electrical burns may have deeper tissue damage than visible
