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 ?
The Parkland formula, or some modification of it, is used to calcuate fluid requirements of patients with burns.
(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.1 The Advanced Paediatric Life Support (APLS) course manual (2) states that the Parkland formula is 'only a guide; subsequent therapy will be guided by urine output, which should be kept at 2 ml/kg/ hour or more'.
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.
Initiate fluids for ongoing resuscitation and fluid losses using the Parkland formula:
Children must have their daily maintenance fluids added to the volume of fluids calculated using the Parkland formula (including dextrose).