Fluid requirement for resuscitation in burns patients
For second and higher degree burns
Weight
kg
lb
%BSA Burned
%
Parkland
formula
ml RL in first 24 hrs in adults
Half the calculated fluid in first 8 hrs, and rest half in next 16 hrs
Modified Brooke
formula
ml RL in first 24 hrs in adults
Muir and Barclay
formula
ml colloids per period in adults
This volume should be repeated
every 4 hours for the first 12 hours
every 6 hours between 12 and 24 hours
every 12 hours between 24 and 36 hours
The decision of amount of fluids depends on the setting. The greater estimate of volume is given if there is:
*inhalational injury
*electrical injury with likely deep tissue damage
*a child victim
*prior dehydration e.g. prolonged delay before transfer
*concomitant trauma; major trauma may need blood replacement
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