Parkland vs Brooke formula

Brooke formula

(a) First 24 h: Ringer Lactate (RL) in amount of 1.5 ml/kg/%burn, plus colloids at 0.5 ml/kg/%burn, plus 2000 ml glucose in water.

(b) Next 24 h: RL in amount of 0.5 ml/kg/%burn, colloids at 0.25 ml/kg/%burn and the same amount of glucose in water as in the first 24 h.

Modified Brooke

(a) First 24 h: no colloids. Crystalloids (RL) in amount of 2 ml/kg/%burn in the adult and 3 ml/kg/%burn in children.

(b) Next 24 h: colloids in amount of 0.3–0.5 ml/kg/%burn, and no crystalloids. Glucose in water is added in the amounts required to maintain good urinary output.

Parkland formula

This is probably the most widely used formula:

(a) First 24 h: no colloids. RL in amount of 4 ml/kg/%burn for adults and 3 ml/kg/% burn for children. Ringer Lactate solution is added as maintenance for children as following: for children weighting 0–10 kg the amount is 4 ml/kg/h; between 10 and 20 kg the amount is 40 ml/h + 2 ml/kg/h; for more than 20 kg, the amount is 60 ml/h + 1 ml/kg/h.

(b) Next 24 h: colloids in amount of 20–60% of calculated plasma volume. No crystalloids. Glucose in water is added in amounts required to maintain urinary output of 0.5–1 ml/kg/h in adults and 1 ml/kg/h in children.

Modified Parkland

(a) First 24 h: RL in amount of 4 ml/kg/%burn (adults).

(b) Next 24 h: begin colloid infusion of 5% albumin at the amount of (0.3–1 ml/kg/%burn)/16 per hour.