Board Review: Summer Emergencies
A 31-year-old 70-kg male is grilling at a BBQ when he accidentally lights himself on fire. On exam in the ED he is found to have full-thickness burns to the front of his torso as well as his left arm. He also has superficial burns to his right leg. What is the recommended fluid requirement for this patient in the next 24 hours?
A. 7.6 L
B. 3.8 L
C. 10.1 L
D. 5.0 L
E. 8.0 L
A. 7.6. L. The Parkland formula only applies to partial-thickness and full-thickness burns.
4mL x %burn x weight (kg) = fluid requirement over first 24 hours
TBSA = 18 (front torso) + 9 (right arm) = 27%
4mL x 27% x 70 kg = 7.6 L over the first 24 hours
You should be giving 3.8 L within the first 8 hours of the time of burn. The goal of your fluid resuscitation is a urine output of 0.5-1 mL/kg/h. This patient should ultimately be transferred to a burn center.
Image from Rosh Review
For more information on burns, please review our prior post: http://emdaily.cooperhealth.org/content/burns