A 25-year-old male is found at the scene of a car fire. He has full-thickness circumferential burns to both arms and the anterior trunk. He is conscio...

Question

A 25-year-old male is found at the scene of a car fire. He has full-thickness circumferential burns to both arms and the anterior trunk. He is conscious with a GCS of 12 and has carbonaceous sputum. His core temperature is 35.5°C. Using the Parkland formula, calculate the fluid requirement for the first 8 hours. His weight is 80 kg and the estimated TBSA is 45%.

Accepted Answer

Parkland formula: 4 × 80 × 45 = 14,400 mL over 24 hours; half in the first 8 hours = 7,200 mL; rate = 900 mL/hour for the first 8 hours (from time of burn, not time of presentation)

Answer

Parkland formula: 4 × 80 × 45 = 14,400 mL over 48 hours

Answer

4 × 80 × 45 = 14,400 mL - give all in the first 8 hours

Answer

2 × 80 × 45 = 7,200 mL over 24 hours

Answer

No fluid calculation is needed - give ad libitum

uk-dipimc MCQ (SBA): Parkland Formula Calculation