Parkland formula

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The Parkland formula, also known as Baxter formula, is a burn

first-degree burns do not cause hemodynamically significant fluid shift to warrant fluid replacement.[5]

The Parkland formula is mathematically expressed as:[4]

where mass (m) is in kilograms (kg), area (A) as a percentage of total body surface area, and volume (V) is in milliliters (mL). For example, a person weighing 75 kg with burns to 20% of his or her body surface area would require 4 x 75 x 20 = 6,000 mL of fluid replacement within 24 hours. The first half of this amount is delivered within 8 hours from the burn incident, and the remaining fluid is delivered in the next 16 hours.[6]

The burn percentage in adults can be estimated by applying the Wallace rule of nines (see total body surface area): 9% for each arm, 18% for each leg, 18% for the front of the torso, 18% for the back of the torso, and 9% for the head and 1% for the perineum.[7]

See also

References

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  2. .
  3. ^ "Surgical Treatment of Burns : Treatment and management". MedScape. Retrieved 29 August 2012.
  4. ^ a b Sunny, Joseph. "Parkland formula". MedSoft. Retrieved 29 August 2012.
  5. ^ "Surgical Treatment of Burns Treatment & Management". Surgical Treatment of Burns Treatment & Management. May 15, 2014. Retrieved June 17, 2014.
  6. ^ "Parkland's formula for emergency fluid management". Emergency Medicine. Retrieved 29 August 2012.
  7. ^ "MD+Calc: Parkland Formula for Burns". Retrieved 18 December 2012.

Further reading