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Nursing

Parkland Formula — Burns

The Parkland formula calculator determines the total volume of Lactated Ringer's solution required for 24-hour fluid resuscitation of burn patients. The formula — 4 mL × weight in kg × %TBSA — is the international standard for burn fluid management in patients with second and third degree burns exceeding 15–20% of total body surface area. Half the calculated volume is given in the first 8 hours from the time of burn injury, and the remaining half over the next 16 hours.

Include only 2nd and 3rd degree burns. Exclude superficial (1st degree) burns.
24-Hour Total Volume

Parkland Formula

Total 24-hr volume = 4 mL × Weight (kg) × %TBSA

First 8 hours from time of burn: give ½ of total volume
Next 16 hours: give remaining ½ of total volume

Fluid: Lactated Ringer's (LR)

Worked Example

A 70 kg patient with 30% TBSA burns:

Total = 4 mL × 70 kg × 30 = 8,400 mL over 24 hours First 8 hours: 4,200 mL (525 mL/hr) Next 16 hours: 4,200 mL (263 mL/hr)

Remember: the 8-hour clock starts at the time of injury, not hospital arrival. Titrate to a urine output of 0.5–1.0 mL/kg/hr and follow your local burns protocol.

📖 Formula source: Baxter CR, Shires T. Ann N Y Acad Sci. 1968;150(3):874–894.

Important Notes

The 8-hour clock starts from the time of burn injury, not time of arrival at hospital. If 2 hours have passed since the burn, the first half must be given in the remaining 6 hours.

Titrate fluid rate to maintain urine output of 0.5–1.0 mL/kg/hr in adults and 1 mL/kg/hr in children.

Burns involving >20% TBSA in adults and >15% in children generally require formal fluid resuscitation.

Related Calculators

Frequently Asked Questions

What fluid is used in the Parkland formula?

The Parkland formula uses Lactated Ringer's solution (also called Hartmann's solution). Normal saline is avoided due to the risk of hyperchloraemic acidosis with the large volumes required.

When does the 8-hour clock start in the Parkland formula?

The clock starts from the time of burn injury, not the time of hospital admission. If a patient arrives 2 hours after the burn, the first half of the 24-hour volume must be given in the remaining 6 hours (not 8). This is a critical point frequently missed in clinical practice.

⚠️ Parkland formula provides an estimate only. Adjust fluid resuscitation based on urine output, haemodynamic response, and clinical assessment. Always follow burn unit protocols.