What is the Parkland formula for burns resuscitation?

Parkland: 4 mL × kg × %TBSA (2nd and 3rd degree burns only); half given in first 8 hours from time of burn (not time of arrival), half over next 16 hours; start in pre-hospital if transport >30 min.

What is the target urine output during burns resuscitation?

Urine output target 0.5-1.0 mL/kg/hour (adults) and 0.5-1.0 mL/kg/hour (children); higher 1.0-2.0 mL/kg/hour if hemoglobin/myoglobin in urine (inhalation injury with rhabdomyolysis); titrate LR infusion rate accordingly.

What is "fluid creep" in burns resuscitation?

Fluid creep = excessive fluid administration beyond Parkland formula estimates, leading to abdominal compartment syndrome, pulmonary edema, and orbital compartment syndrome; colloid (albumin 5%) given after 8-24h reduces total crystalloid requirements.

How is %TBSA estimated for burns?

Rule of Nines (adults): head 9%, each arm 9%, each leg 18%, anterior trunk 18%, posterior trunk 18%, perineum 1%; Lund-Browder chart is more accurate, especially for children where head is relatively larger.

When are inhalation injuries associated with burns?

Inhalation injury in enclosed space, facial burns, singed nasal hairs, and carbonaceous sputum; bronchoscopy is diagnostic gold standard; inhalation injury adds 50% to fluid requirements; early intubation if progressive stridor/airway edema.

Burns Fluid Resuscitation (Parkland Formula) Calculator

Calculates initial fluid resuscitation volume using the Parkland formula (4 mL × kg × %TBSA), modified Brooke formula, urine output targets, and escharotomy criteria for major burns.

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Clinical Guidance

BMI is a screening measure of body size, not a direct measure of body fat. The standard WHO categories are underweight (<18.5), normal (18.5–24.9), overweight (25–29.9), and obese (≥30).

BMI can overestimate body fat in athletes with high muscle mass and underestimate it in older adults with low muscle mass. Interpret it alongside waist circumference and clinical context rather than as a standalone diagnosis.

⚕ Clinical Disclaimer: These calculators are for educational and reference purposes only. Always verify results with qualified clinical judgment and current clinical guidelines. Do not use as a sole basis for medical decisions.

How It Works

Calculates initial fluid resuscitation volume using the Parkland formula (4 mL × kg × %TBSA), modified Brooke formula, urine output targets, and escharotomy criteria for major burns

Each component has a specific meaning:

Parkland formula — The parkland formula recorded for the patient or scenario being assessed.
Modified Brooke formula — The modified brooke formula recorded for the patient or scenario being assessed.
Urine output targets — The urine output targets recorded for the patient or scenario being assessed.
Escharotomy criteria — The escharotomy criteria recorded for the patient or scenario being assessed.

Note: Interpret the burns parkland formula result against the clinical thresholds and context described above.

How to Use

Enter the Parkland formula, modified Brooke formula, urine output targets, escharotomy criteria for the patient or scenario you are assessing. Calculates initial fluid resuscitation volume using the Parkland formula (4 mL × kg × %TBSA), modified Brooke formula, urine output targets, and escharotomy criteria for major burns. Use the burns parkland formula result to inform your clinical assessment.

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