Parkland formula calculator

Enter body weight and the percentage of body surface burned to get the Parkland fluid volume for the first 24 hours, half of it in the first 8 hours from the time of the burn. It is an estimate for information, not a treatment order.

Weight in
lb
%
mL/kg/%
Fluid in 24 hours8,382 mL
Rate for the first 8 hours524 mL/h
First 8 hours
4,191 mL
Next 16 hours
4,191 mL
Rate for the next 16 hours
262 mL/h
Weight in kg
69.9 kg

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How to use it

  1. Choose kg or lb and enter the body weight.
  2. Enter the percentage of body surface burned (partial and full thickness), for example from the rule of nines calculator.
  3. Keep 4 mL/kg/% for Parkland or enter your protocol’s factor.
  4. Read the 24-hour volume and the volumes and rates for the two periods.

The formula

V (mL) = 4 × weight (kg) × TBSA (%)

  • first 8 hours from the burn: V / 2, rate V / 2 / 8 mL/h;
  • next 16 hours: V / 2, rate V / 2 / 16 mL/h.

Weight in pounds is converted with 1 lb = 0.45359237 kg.

Worked example

A 70 kg adult with 30 % TBSA burns: 4 × 70 × 30 = 8,400 mL in 24 hours. 4,200 mL over the first 8 hours is 525 mL/h, and 4,200 mL over the next 16 hours is 262.5 mL/h, about 263 mL/h.

The same patient weighed as 154 lb (69.9 kg) gets 8,382 mL.

Tips

  • Only partial- and full-thickness burns count towards TBSA; adding superficial redness overestimates the fluid.
  • Children also need maintenance fluid on top of the Parkland volume; the maintenance fluid calculator gives the 4-2-1 rate.
  • This is an estimate for information, not a treatment order. Major burns need specialist care.

Frequently asked questions

What is the Parkland formula?

Fluid for the first 24 hours after a burn = 4 mL × body weight in kg × percentage of body surface burned. Half is given in the first 8 hours and half over the next 16 hours. It is usually given as a balanced crystalloid such as lactated Ringer's (Hartmann's) solution.

Do the 8 hours start on arrival?

No, from the time of the burn. If the patient arrives 2 hours after the burn, the first half is given over the remaining 6 hours, so the hourly rate is higher.

Why can I change the 4 mL?

Some burn centres start at a lower volume, for example 2 mL × kg × %TBSA, to avoid giving too much fluid. The calculator lets you enter the factor your protocol uses; 4 is the Parkland value.

Is the formula volume what the patient will get?

It is a starting estimate. The rate is then adjusted hour by hour, mainly by urine output, so the real volume can be higher or lower.

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