1. Parkland formula (24 hours) = 4ml x Body weight (In kg) x % of Total Burn surface Area
Now Total Burn surface Area have to calculate by rule of Nine…..
2. Rule of Nines for Adult …
Head and Neck = 9%
Each Arm = 9%
Front of the Trunk = 18%
Back of the Trunk = 18%
Each leg = 18%
Perineum = 1%
3. Fluid Distribution ( Crystalloid solution like Hartmann’s solution , Ringer’s lactate etc.)
First 8 hours 50% IV then next 16 hours another 50% IV
Example: 60kg man with 30% Burn; Fluid need 4x60x30 = 7200ml fluid , First 8 hours 3600ml and next 16 hours 3600ml IV
Dr. Rezbaul Hasan
