🔥 Parkland Formula (Burn Resuscitation)
Estimate 24-hour fluid resuscitation for major burns with the Parkland formula.
Parkland Formula (Burn Resuscitation)
Weight (kg)
% TBSA burned (2nd/3rd degree) (%)
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.