Calhoun Community College

EMS Program

EMP 196

Parkland Burn Formula Worksheet Answer Key

Patient 1

a) How much fluid should be administered to a 100 kg burn victim with a 30% BSA over the first 24 hours?

(100kg) x (30%) x (4ml/kg) = 12,000mL or 12L

b) How much fluid should the above patient receive in the first 8 hours?

12L / 2 = 6L

c) How much fluid should he receive in the second 8 hours?

6L / 2 = 3L

d) How much total fluid should he receive in the last 16 hours of the first 24 hours after the burn?

12L / 2 = 6L

e) Using a 0.25mL/kg infusion rate, how much fluid should EMS deliver to the patient in the first hour after the burn during transport?

(100kg) x (30%) x (0.25ml/kg) = 750mL

Patient 2

f) How much fluid should be administered to a 176 lbs burn victim with a 70% BSA over the first 24 hours?

176lbs = 80kg

(80kg) x (70%) x (4ml/kg) = 22,400mL or 22.4L

g) How much fluid should he receive in the first 8 hours?

22.4L / 2 = 11.2L

h) How much fluid should the patient receive in the second 8 hours?

11.2L / 2 = 5.6L

i) How much fluid should he receive in the last 16 hours of the first 24 hours after the burn?

22.4L / 2 = 11.2L

j) Using a 0.5mL/kg infusion rate, how much fluid should EMS deliver to the patient in the first hour after the burn during transport?

(80kg) x (70%) x (0.5ml/kg) = 2,800mL or 2.8L

Patient 3

k) How much fluid should be administered to a 110 lbs burn victim with critical burns to her chest, abdomen, and anterior surface of both legs in the first 24 hours?

110lbs = 50kg

BSA: Chest = 9%

Abdomen = 9%

Anterior Left leg = 9%

Anterior Right leg = 9%

Total BSA = 36%

(50kg) x (36%) x (4ml/kg) = 7,200mL or 7.2L

l) How much fluid should she receive in the first 8 hours?

7.2 L / 2 = 3.6L

m) How much fluid should the patient receive in the second 8 hours?

3.6L / 2 = 1.8L

n) How much fluid should she receive in the last 16 hours of the first 24 hours after the burn?

7.2L / 2 = 3.6L

o) Using a 0.25mL/kg infusion rate, how much fluid should EMS deliver to the patient in the first hour after the burn during transport?

(50kg) x (36%) x (0.25ml/kg) = 450mL or 0.45L