Parkland Formula Calculator
Estimate initial adult burn fluid using the ABA 2 mL/kg/%TBSA starting formula, with the classic Parkland 4 mL/kg/%TBSA total for comparison. Covers adults with burns of at least 20 percent TBSA and does not support pediatric resuscitation.
Burn Resuscitation Initial-Volume Examples
The calculator starts with the ABA 2023 adult 2 mL/kg/%TBSA volume and also reports the classic Parkland 4 mL comparison. It applies to adults with burns of at least 20% TBSA.
| Weight | Burn area | ABA 24-hour total | First 8 hours | Classic 24-hour total |
|---|---|---|---|---|
| 50 kg | 20% | 2,000 mL | 1,000 mL | 4,000 mL |
| 70 kg | 20% | 2,800 mL | 1,400 mL | 5,600 mL |
| 90 kg | 30% | 5,400 mL | 2,700 mL | 10,800 mL |
| 80 kg | 40% | 6,400 mL | 3,200 mL | 12,800 mL |
| 100 kg | 20% | 4,000 mL | 2,000 mL | 8,000 mL |
Frequently Asked Questions about the Parkland Formula Calculator
What counts toward TBSA in the Parkland formula?
Formal burn-resuscitation estimates count partial-thickness and full-thickness burns, not superficial erythema alone. Depth and TBSA are often misclassified outside burn care, and deliberately underestimating either is unsafe. A trained clinician or burn center should assess the burn and recalculate TBSA. This calculator is not a substitute for that examination.
How do I estimate TBSA at the bedside (Rule of Nines vs Lund-Browder)?
The adult Rule of Nines assigns 9 percent to the head, 9 percent to each arm, 18 percent to each leg, 18 percent to the anterior trunk, 18 percent to the posterior trunk, and 1 percent to the perineum. For irregular burns, the patient's palm including fingers approximates 1 percent TBSA. The Rule of Nines is inaccurate in children because body proportions differ; pediatric assessment uses an age-adjusted Lund-Browder chart. A burn team should confirm depth and TBSA and titrate fluid to the patient's response.
Why lactated Ringer's instead of normal saline for burn resuscitation?
Burn protocols commonly use lactated Ringer's for initial crystalloid resuscitation, but fluid choice, rate, and endpoints belong to a burn team. The calculator implements the classic Parkland 4 mL/kg/%TBSA estimate. Current American Burn Association guidance for adults with burns covering at least 20 percent TBSA recommends starting at 2 mL/kg/%TBSA to reduce excess fluid, then titrating to clinical endpoints. Do not use the displayed volume as an unattended order.
Why do pediatric burn patients need maintenance fluid on top of Parkland?
This calculator does not support pediatric burn resuscitation. It accepts adult and elderly inputs only and does not add pediatric maintenance fluid or glucose. Children need age-specific assessment and a pediatric burn team's protocol; do not use the adult result as a pediatric order.
When does a burn require ABA burn-center referral?
American Burn Association referral guidance calls for immediate consultation or transfer consideration for full-thickness burns, partial-thickness burns at or above 10 percent TBSA, deep burns of critical areas, suspected inhalation injury, chemical or high-voltage electrical injury, significant comorbidity or trauma, poorly controlled pain, and pediatric burns that exceed local capability. The criteria distinguish consultation from automatic transfer. Contact a burn center early for case-specific direction.
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