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🔥 Parkland Formula (Burn Resuscitation)

Estimate 24-hour fluid resuscitation for major burns with the Parkland formula.

Clinical takeaway

A starting estimate — titrate to urine output (~0.5 mL/kg/h adults).

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When to use

Initial crystalloid resuscitation in significant burns.

How it works

Total = 4 mL × weight(kg) × %TBSA (2nd/3rd degree); give half in the first 8 hours from the time of the burn.

Key points

  • A starting estimate — titrate to urine output (~0.5 mL/kg/h adults).
  • Time runs from the burn, not from arrival.
  • Exclude superficial (first-degree) burns from %TBSA.

References

Decision support for licensed clinicians only; not a substitute for clinical judgement, diagnosis or local protocols.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Weight70 kg
% TBSA burned (2nd/3rd degree)30 %

24h crystalloid8400mL

  • First 8 hours4200 mL (525 mL/h)
  • Next 16 hours4200 mL
  • Formula4 mL × weight(kg) × %TBSA; half in first 8 h from time of burn

Frequently asked questions

What is Parkland Formula (Burn Resuscitation)?
Estimate 24-hour fluid resuscitation for major burns with the Parkland formula.
How is Parkland Formula (Burn Resuscitation) calculated? What is the core formula?
Total = 4 mL × weight(kg) × %TBSA (2nd/3rd degree); give half in the first 8 hours from the time of the burn.
When is Parkland Formula (Burn Resuscitation) used?
Initial crystalloid resuscitation in significant burns.
What are the key clinical points for Parkland Formula (Burn Resuscitation)?
A starting estimate — titrate to urine output (~0.5 mL/kg/h adults). Time runs from the burn, not from arrival. Exclude superficial (first-degree) burns from %TBSA.
What are the limits and cautions when using Parkland Formula (Burn Resuscitation)?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
How is Parkland Formula (Burn Resuscitation) calculated in practice? Can you show a worked example?
Inputs: Weight 70 kg, % TBSA burned (2nd/3rd degree) 30 % → Result: 24h crystalloid 8400 mL(First 8 hours: 4200 mL (525 mL/h), Next 16 hours: 4200 mL, Formula: 4 mL × weight(kg) × %TBSA; half in first 8 h from time of burn)

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