🔥 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.
| Weight | 70 kg |
|---|---|
| % TBSA burned (2nd/3rd degree) | 30 % |
→24h crystalloid8400mL
- 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
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)