About the Parkland formula
The Parkland formula is the classic method for estimating how much intravenous crystalloid fluid an adult burn patient needs in the first 24 hours after injury. It converts body weight and the extent of the burn into a single 24-hour volume, then splits that volume into a faster infusion for the first 8 hours and a slower one for the next 16 hours.
The formula
Total 24-hour fluid (mL) = 4 mL x body weight (kg) x %TBSA burned, using only second-degree (partial-thickness) and third-degree (full-thickness) burns in the %TBSA. First-degree burns, like ordinary sunburn, are left out because they do not cause the same capillary leak and fluid shift. Half of the total volume is given over the first 8 hours measured from the time of the burn - not from the time the patient reaches the hospital - and the other half is given over the following 16 hours.
Why the clock starts at the injury, not at arrival
Burn injury sets off fluid loss into the tissue immediately, so if time has already passed before fluids start, that time still counts against the first 8-hour window. The remaining first-half volume then has to run at a faster hourly rate to finish on schedule. This calculator accounts for that by asking for the hours already elapsed since the burn.
Putting the result in context
The Parkland estimate is a starting point, not a fixed prescription. Burn teams titrate the actual infusion rate up or down based on the patient's urine output (commonly targeting roughly 0.5 mL/kg/hr in adults), vital signs, and overall clinical picture, since individual fluid needs vary around the formula's average.
When to consult a professional
This tool performs the standard Parkland arithmetic for education and planning. Burn resuscitation is a medical emergency - any real burn patient needs prompt evaluation and ongoing fluid titration by a qualified clinician or burn center, not just a calculator.