Which method is used to calculate fluid resuscitation in burn victims based on total body surface area?

The Parkland formula is a widely accepted method used to calculate fluid resuscitation needs in burn victims based on the total body surface area (TBSA) affected by burns. This formula helps guide healthcare providers in determining the appropriate volume of intravenous fluids required in the initial 24 hours following a burn injury.

Specifically, the Parkland formula states that for the first 24 hours, 4 mL of Lactated Ringer’s solution per kilogram of body weight per percentage of TBSA burned should be administered. Half of this calculated volume is given in the first 8 hours, and the remaining half is given over the next 16 hours. This method emphasizes the importance of timely and adequate fluid resuscitation to prevent complications such as shock and renal failure.

While other methods such as the Wallace rule and the Lund and Browder chart can also be used to assess burn surface area, the Parkland formula stands out for its specific application in fluid management for burn patients. It is essential for practitioners to be familiar with this formula as proper resuscitation is critical in the management of burn injuries.