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Emergency Medicine & Critical CareParkland

Classic Parkland Formula for Adult Burns

Calculate the classic adult Parkland 4 mL/kg/%TBSA first-24-hour crystalloid estimate and its fixed 50/50 formula allocation.

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Protocol-selected calculation inputs

The page does not choose actual, ideal, or adjusted weight. For obesity or special body habitus, use the applicable burn-center protocol.

Changing an already selected unit clears the weight rather than silently reinterpreting it.

Count superficial partial-thickness, deep partial-thickness, and full-thickness burn only. Exclude superficial erythema, sunburn, epidermal/first-degree burns. This is not ordinary height-and-weight BSA. Use the Adult Burn TBSA Calculator for a Rule of Nines estimate.

Required confirmations

About

Classic Parkland estimates first-24-hour crystalloid arithmetic for an adult qualifying burn TBSA using 4 mL × protocol-selected calculation weight (kg) × qualifying TBSA (%). It fixes a 50/50 formula allocation: half in the first 8 hours from burn occurrence and half in the next 16 hours. It is a historical formula estimate, not a prescription, titration system, delayed-resuscitation or catch-up-rate calculator, or pediatric tool. [1, 2]

Formula

Classic first-24-hour crystalloid estimate = 4 mL × calculation weight (kg) × qualifying burn TBSA (%) [1, 2]
First 8-hour formula allocation = 50% of the unrounded total, measured from burn occurrence [1, 2]
Next 16-hour formula allocation = 50% of the unrounded total [1]

Interpretation

Current burn-shock guidance — not calculated

Classic Parkland uses 4 mL/kg/%TBSA with 50% in the first 8 hours after injury and 50% in the next 16 hours. The 2024 ABA guideline addresses adults with burns at least 20% TBSA and recommends starting at 2 mL/kg/%TBSA to reduce total fluid, then titrating to patient response. That 2 mL approach is not calculated here, and the two models must not be mixed in one result. [1, 3]

This page does not determine whether a person meets a resuscitation indication. Actual fluids require continuous adjustment to urine output, perfusion, and the applicable burn-center protocol; formula estimates can be exceeded in practice, a phenomenon described as fluid creep. [3, 4, 5]

References

  1. Baxter CR, Shires T. Physiological response to crystalloid resuscitation of severe burns. Ann N Y Acad Sci. 1968;150(3):874–894. PMID 4973463. DOI 10.1111/j.1749-6632.1968.tb14738.x.
  2. World Health Organization. Standards and recommendations for burns care in mass casualty incidents. 2024. Annex 3: List of example formulae for fluid calculation.
  3. Cartotto R, et al. American Burn Association Clinical Practice Guidelines on Burn Shock Resuscitation. J Burn Care Res. 2024;45(3):565–589. PMID 38051821. DOI 10.1093/jbcr/irad125.
  4. Saffle JIL. The phenomenon of “fluid creep” in acute burn resuscitation. J Burn Care Res. 2007;28(3):382–395. PMID 17438489. DOI 10.1097/BCR.0B013E318053D3A1.
  5. Chung KK, et al. Resuscitation of severely burned military casualties: fluid begets more fluid. J Trauma. 2009;67(2):231–237. PMID 19667873. DOI 10.1097/TA.0b013e3181ac68cf.

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Disclaimer

Educational and informational reference only. Not intended to replace professional medical advice, diagnosis, treatment, or independent verification.