A 25-year-old man sustains 40% total body surface area (TBSA) burns (30% deep partial thickness + 10% full thickness). Using the Parkland formula, calculate the Hartmann's solution to be given in the first 8 hours. (Weight = 70 kg)

• A 2800 mL
• B 4200 mL
• C 11200 mL
• D 5600 mL ✓

Explanation

The Parkland formula: 4 mL × kg × %TBSA in the first 24 hours. Calculation: 4 × 70 × 40 = 11,200 mL total in 24 hours. Half (5,600 mL) is given in the first 8 hours from time of burn (not from presentation), and the remaining 5,600 mL over the next 16 hours. Superficial burns (<15–20% TBSA, or first-degree burns) are not included; here only 30% deep partial + 10% full = 40% is correct to include.

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.