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    Parkland Formula for Burns

    Calculates fluid requirements for burn patients in a 24-hour period.

    INSTRUCTIONS

    Use in adult patients with burns. Children have larger TBSA relative to weight and may require larger fluid volumes.
    When to Use
    Pearls/Pitfalls
    Why Use

    Patients with acute burns.

    • The Parkland Formula is a validated and effective approach to initial fluid resuscitation in the acutely burned patient.
    • Overly aggressive fluid resuscitation, termed “fluid creep”, is well documented in critical care literature. Factors that may lead to fluid creep include lack of physician observation of endpoints (i.e. urine output), increased opioid use and the emergency nature of goal-directed resuscitation.
    • Patients with inhalational and electrical burns, as well as children and the elderly, may require more or less fluid resuscitation than is predicted by the formula.
    • The Parkland Formula has been endorsed by the American Burn Association.
    • It has been shown to appropriately restore intravascular volume and limit the development of hypovolemic shock.
    lbs
    Rule of 9's for Adults: 9% for each arm, 18% for each leg, 9% for head,18% for front torso, 18% for back torso.
    Rule of 9's for Children: 9% for each arm, 14% for each leg, 18% for head, 18% for front torso, 18% for back torso.
    %

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    Next Steps
    Evidence
    Creator Insights
    Dr. Charles R. Baxter

    About the Creator

    Charles R. Baxter, MD, (d. 2005) was the director of the emergency department at Parkland Memorial Hospital in Dallas, Texas. He founded the Parkland Hospital Burn Unit and was an active researcher, making advances in the treatment of burn victims and trauma procedures. Dr. Baxter was also one of the physicians who unsuccessfully tried to save John F. Kennedy after he was shot in 1963.

    To view Dr. Charles R. Baxter's publications, visit PubMed

    Content Contributors
    • David Zodda, MD
    About the Creator
    Dr. Charles R. Baxter
    Partner Content
    Content Contributors
    • David Zodda, MD