Parkland formula

Parkland formula

(park′lănd) [ Parkland Memorial Hospital, Dallas, TX]
A formula used to compute the approximate need for intravenous hydration in patients who have suffered burns, based on the percent of body surface area that has been injured.
References in periodicals archive ?
Fluid requirements were calculated according to the Parkland Formula [(Parkland Formula=4 cc/kg/% of TBSA, administered over 24 hours since the time of injury (50% given during the first eight hours and 50% given during the next 16 hours)] (5-7).
Patient demographics and 24-hour intravenous fluid requirements per Parkland Formula Patient Age % of TBSA Weight IVT requirement (years) burned (kg) (Parkland Formula cc/24 hours) 1 48 20 60.
4) warn that over-reliance on the Parkland formula in the resuscitation of patients with major burns may lead to over-hydration.
Over and over the Rule of Nines was estimated and the Parkland Formula for fluid resuscitation was calculated.
Fluid calculations were based on the Parkland formula at 4 ml/kg/% burn, and a major goal of resuscitation was to maintain urine output above 2 ml/kg/h.
Over-reliance on the Parkland formula, and attempts at maintaining fluid output above 2 ml/kg/h as prescribed by APLS,2 may lead to over-hydration; if severe, this may manifest as compartment syndromes in unburnt limbs and in the abdomen, with potentially lethal consequences.
The pendulum appears to have swung from underresuscitation before use of the Parkland formula towards overhydration, the sequelae encapsulated as 'fluid creep', a term coined by Pruitt.
Children must have their daily maintenance fluids added to the volume of fluids calculated using the Parkland formula (including dextrose).