Fluid Replacement after Thermal Burns (Parkland, Mount Vernon Formulas)

Purpose: Fluid therapy is important in the severely burned patient.

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Evaluation

Age of patient

years

Body weight

Body height

BSA in 2nd and 3rd degree burn (enter from 0 to 100)

percent

Urine output

mL/hr

Results

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Results Interpretation and Description References Next Steps

Data complete

Is IV therapy needed?

Body surface area

Estimated plasma losses across burns

Urine output adequate?

Parkland formula

• amount of Ringer's lactate to give in 1st 8 hours

• rate to give fluids during 1st 8 hours

• amount of Ringer's lactate to give in next 16 hours

• rate to give fluids during next 16 hours

• FFP to give after 1st 24 hours

• number of units of FFP

Mount Vernon formula

• total amount of 4.5% human albumin to give over 36 hours

• rate to give in 1st 12 hours

• rate to give in 12-24 hour period

• rate to give in 24-36 hour period

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Nomogram of Gangemi for Pathologic Scarring After a Major Burn
Severity, Prognosis, Stage

Therapy

Options
- Nutritional Support after Thermal Burns
Selection
- Rule of 10 for Initial Fluid Resuscitation in Severely Burned Adult Combat Casualty
Dosage Calculations
- Rule of 10 for Initial Fluid Resuscitation in Severely Burned Adult Combat Casualty
Diet
- Nutritional Support after Thermal Burns
Referral And Transfer
- Indications for Referring Burn Victim to Burn Treatment Center

Specialty

Emergency Medicine
Critical Care

Objective

options
diet

ICD-10

T20-T25 - Burns and corrosions of external body surface, specified by site
T26-T28 - Burns and corrosions confined to eye and internal organs
T29-T32 - Burns and corrosions of multiple and unspecified body regions

Info

Purpose: Fluid therapy is important in the severely burned patient.

Specialty: Emergency Medicine, Critical Care

Objective: options, diet

ICD-10: T20-T25, T26-T28, T29-T32,

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