Parkland burn resuscitation formula uses which fluid multiplier?

• A. It uses 2 mL x kg x TBSA
• B. It uses 4 mL x kg x TBSA
• C. It uses 6 mL x kg x TBSA
• D. It uses 8 mL x kg x TBSA

Answer: (B)

Parkland resuscitation uses a specific fluid multiplier to estimate early fluid needs after a burn. The multiplier is 4 mL per kilogram of body weight for each percent of total body surface area burned. So the total fluid for the first 24 hours is 4 mL × body weight (kg) × %TBSA burned, usually with Lactated Ringer's solution. Half of that volume is given in the first 8 hours after the burn, and the remaining half over the next 16 hours. This 4 mL multiplier is what distinguishes Parkland from other regimens; for example, 2 mL would be Brooke’s formula, which yields a different total, and 6 or 8 mL would overestimate needs.