Forensic Medicine · Thermal and Electrical Injuries

A 60 kg adult presents 2 hours after sustaining 25 percent superficial to deep dermal burns. Fluid resuscitation is planned using the Parkland formula. What volume should be infused in the first 8 hours from the time of injury?

  • A 1500 mL
  • B 3000 mL
  • C 4500 mL
  • D 6000 mL
Correct answer: B. 3000 mL

Explanation

The Parkland formula gives 4 mL x body weight in kg x percent burn area of lactated Ringer solution in the first 24 hours. Here 4 x 60 x 25 equals 6000 mL, and half of this, 3000 mL, is given in the first 8 hours from the time of the burn, not from arrival. The remaining half is given over the next 16 hours.

Reference: Bailey and Love's Short Practice of Surgery, 28th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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