The Parkland formula , also known as the Baxter formula , is a burning formula developed by Dr. Charles R. Baxter, was used to estimate the amount of replacement fluid needed for 24 h in burn patients to ensure they remained hemodynamically stable. The number of milliliters of fluid required for the first 24 hours - usually Ringer Lactate - is four times the weight and percentage of combustion (ie the surface area of ​​the body affected by the burn). The first half of the fluid is given within 8 hours of burn incident, and the rest for the next 16 hours. Only areas covered by second or larger degree burns are considered, since first-degree burns do not cause significant haemodynamic fluid changes to ensure fluid replacement.
Rumus Parkland secara matematis dinyatakan sebagai:
in which the mass in kilograms (kg), area as a percentage of total body surface area, and volume in milliliters (mL). For example, a person weighing 75 kg with burns of up to 20% of his surface area would require 4 x 75 x 20 = 6,000 mL fluid replacement within 24 hours. The first half of this amount is delivered within 8 hours of burn incident, and the remaining fluid is delivered within the next 16 hours.
Percentage of burns in adults can be estimated by applying Wallace's rule of nine (see total body surface area): 9% for each arm, 18% for each leg, 18% for the front of the torso, 18% for the back of the torso, and 9% for the head and 1% for the perineum.
Video Parkland formula
See also
- Charles R. Baxter
- Parkland Memorial Hospital
Maps Parkland formula
References
Further reading
- Parkland formula calculator at MDCalc.com
Source of the article : Wikipedia
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