A 30-year-old man with 40% total body surface area burns (25% deep partial thickness, 15% full thickness) weighing 70 kg. Using the Parkland formula, calculate the total fluid to be given in the first 24 hours and the volume in the first 8 hours.

• A Total: 8400 mL; First 8 hours: 4200 mL
• B Total: 5600 mL; First 8 hours: 2800 mL
• C Total: 9800 mL; First 8 hours: 4900 mL
• D Total: 11200 mL; First 8 hours: 5600 mL ✓

Explanation

Parkland formula: 4 mL × weight (kg) × %TBSA burn = 4 × 70 × 40 = 11200 mL of Ringer's lactate in the first 24 hours. Half (5600 mL) is given in the first 8 hours from the time of burn, and the remaining half over the next 16 hours. Only partial and full thickness burns are included in TBSA calculation; superficial (first degree) burns are excluded.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

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