A 30-year-old man sustains 40% total body surface area burns (30% full-thickness, 10% superficial partial-thickness) from a house fire. Using the Parkland formula, how much Hartmann's (Ringer's lactate) solution should be given in the first 8 hours from the time of burn? Body weight is 70 kg. (Parkland formula: 4 mL × %TBSA burn × body weight in kg)
- A 8,400 mL
- B 11,200 mL
- C 5,600 mL ✓
- D 3,360 mL
Correct answer: C. 5,600 mL
Explanation
Parkland formula total fluid = 4 × 40 × 70 = 11,200 mL in 24 hours. Half is given in the first 8 hours from the time of burn (not from hospital arrival): 11,200 ÷ 2 = 5,600 mL. The remaining 5,600 mL is given over the next 16 hours. The keyed answer 5,600 mL is the correct value for the first 8 hours.
Reference: Bailey & Love's Short Practice of Surgery, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.