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7-Point Dermoscopy Checklist ABSI (Burn Severity)AGEP Score AJCC Melanoma Staging ALDEN Algorithm BWH SCC Staging Body Surface Area (BSA)Breslow & Clark Microstaging CTCAE Skin Toxicity DLQI EASI Score GAGS (Acne)HiSCR IGA IHS4 Lund-Browder Chart MSK Melanoma Nomogram Melanoma Risk Screening PASI Score POEM Parkland Formula RegiSCAR DRESS Validation Revised Baux Score SCORAD SCORTEN mPASI

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Parkland Formula

Parkland Formula: Emergent fluid resuscitation for major burns (>15-20% TBSA). Use Lactated Ringer's.

Patient Weight (kg)

Burn Area (% TBSA)

Guidelines & Evidence

Clinical Details

Section 1

When to Use

When to Use

Calculating initial fluid replacement in burn patients with >15-20% TBSA.

Standard emergent protocol for acute thermal injuries.

Section 2

Formula & Logic

Formula

4 mL × Weight (kg) × % TBSA (2nd/3rd degree burns).

Timing

First Half: Administered over the first 8 hours from time of injury.

Second Half: Administered over the following 16 hours.

Section 3

Pearls/Pitfalls

Clinical Pearls

Maintain urine output (UOP) of 0.5 mL/kg/hr in adults and 1 mL/kg/hr in children.

Target Lactated Ringer’s solution (closest to physiologic pH).

Avoid over-resuscitation (Fluid creep).

Section 4

Evidence Appraisal

Primary Reference

Fluid volume and electrolyte changes of the early postburn period.

Baxter CR. • Clin Plast Surg. 1974;1(4):693-703

Last Comprehensive Review: 2026

Related Dermatology Tools

Lund-Browder Chart

Melanoma Risk Screening

MSK Melanoma Nomogram

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