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**Parkland Formula for Treating Burn Victims **

For burn victims, fluid resucitation is critical within the first 24 hours. The amount of fluid resucitation can be determined from the percentage of body surface area (%BSA) involved. "Rule of 9's" can estimate the %BSA.

The Parkland Formula is as follows.

Fluid for first 24 hours (ml) = 4 * Patient's weight in kg * %BSA

Afterwards, the first half of this amount is delivered in the first 8 hours,
and the remaining half is delivered in the remaining 16 hours.

The "Rule of 9's" is as follows.

Head and each arm = 9%

Back and chest each = 18%

Each leg = 18%

Perineum = 1%

Here is a form and calculator for finding fluid administration using the Parkland formula.

Related Links: eMedicine Article on Burns,
Thermal

Sources: Books for Medical Students

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