How does pediatric burn resuscitation differ from adults?

Children require addition of maintenance fluid to the Parkland resuscitation because their higher surface-area-to-volume ratio increases baseline evaporative losses. Adult Parkland uses 4 mL/kg/% TBSA alone; pediatric protocols add Holliday-Segar maintenance.

What is the Lund-Browder chart?

The Lund-Browder chart adjusts TBSA estimates for age-dependent body proportion differences. The head represents 19% at birth and decreases by 1% per year, while leg estimates increase reciprocally. This is more accurate than the Rule of Nines in children.

Parkland Pediatric Burn Fluid (TBSA)

Calculate first 24-hour Ringer's lactate requirement for pediatric burns using the modified Parkland formula (3–4 mL/kg/% TBSA) plus daily maintenance fluids, with Lund-Browder TBSA assessment.

Weight (kg)

Height (cm)

⚕ 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 to use this calculator

1
Enter patient clinical data
Enter the patient's age, weight, lab values, vitals, or clinical findings into the Parkland Pediatric Burn Fluid (TBSA) input fields.
2
Select the clinical scoring system
Select or confirm the appropriate clinical scoring system or reference range for the patient population.
3
Calculate the clinical score
Press Calculate to compute the clinical score, risk estimate, or diagnostic result.
4
Interpret the result
Review the output against the provided reference ranges, risk categories, or guideline thresholds. Consult a qualified clinician before acting on results.

Formula

Result = f(patient inputs, clinical reference)

patient inputs: Age, weight, height, lab values, vitals, or clinical findings entered into the Pediatric Burn Fluid.
clinical reference: Reference range, scoring system, or population standard the result is compared against.
Result: Computed clinical score, risk estimate, or diagnostic value.

Clinical results are decision-support only and must be interpreted by a qualified clinician.

Glossary and Definitions

Clinical score: A numeric value derived from patient inputs that estimates risk, severity, or diagnostic likelihood for a given condition.
Reference range: The set of values considered normal for a healthy population, used to interpret a calculated result.
Sensitivity: The probability that a positive result correctly identifies a patient with the condition.
Specificity: The probability that a negative result correctly identifies a patient without the condition.
Parkland formula: A key concept referenced by the Pediatric Burn Fluid: Calculate first 24-hour Ringer's lactate requirement for pediatric burns using the modified Parkland formula (3–4 mL/kg/% TBSA) plus daily maintenance fluids, with Lund-Browder TBSA assessment.
Pediatric burns: A key concept referenced by the Pediatric Burn Fluid: Calculate first 24-hour Ringer's lactate requirement for pediatric burns using the modified Parkland formula (3–4 mL/kg/% TBSA) plus daily maintenance fluids, with Lund-Browder TBSA assessment.
TBSA: A key concept referenced by the Pediatric Burn Fluid: Calculate first 24-hour Ringer's lactate requirement for pediatric burns using the modified Parkland formula (3–4 mL/kg/% TBSA) plus daily maintenance fluids, with Lund-Browder TBSA assessment.
Burn resuscitation: A key concept referenced by the Pediatric Burn Fluid: Calculate first 24-hour Ringer's lactate requirement for pediatric burns using the modified Parkland formula (3–4 mL/kg/% TBSA) plus daily maintenance fluids, with Lund-Browder TBSA assessment.
Fluid replacement: A key concept referenced by the Pediatric Burn Fluid: Calculate first 24-hour Ringer's lactate requirement for pediatric burns using the modified Parkland formula (3–4 mL/kg/% TBSA) plus daily maintenance fluids, with Lund-Browder TBSA assessment.

Related Calculators

Holliday-Segar Fluid

Medical Long-tail

4-2-1 IV Fluid Rule