Question

A 36-year-old man sustains 30% total body surface area deep partial-thickness burns to his torso and upper limbs after a house fire. He weighs 80 kg and presents 1 hour after injury. According to the Parkland formula adapted in Canadian burn care, what is the appropriate initial fluid resuscitation plan?

Accepted Answer

4 mL/kg per %TBSA of Ringer lactate in the first 24 hours, half in the first 8 hours from time of burn

Answer

2 mL/kg per %TBSA normal saline given evenly over 24 hours from arrival

Answer

10 mL/kg per %TBSA dextrose 5% over 24 hours

Answer

Maintenance fluids only because <50% TBSA

Answer

Colloid infusion only after 24 hours

Practice question