Emergency Medicine

Parkland Formula (Burns)

24-hour fluid resuscitation in burns.

Education and reference only. Not a substitute for clinical judgement, local policy or product labelling. Always verify before clinical use. Values are calculated in your browser and never stored.

When to use

Use to estimate crystalloid fluid resuscitation in the first 24 hours after a significant burn.

Why use

It provides a starting estimate for burns resuscitation, titrated to urine output.

Critical actions

Total = 4 mL × weight × %TBSA over 24h; give HALF in the first 8 hours from the time of injury, the rest over the next 16h. Titrate to urine output; this is a starting estimate only.

Evidence & references

Baxter CR, Shires T. Physiological response to crystalloid resuscitation of severe burns. Ann NY Acad Sci. 1968.

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