Parkland vs Brooke formula

chare · Nov 16, 2008

this information was obtained from the following article: fodor, l., fodor, a., ramon, y., shoshani, o., rissin, y., ullmann, y. (2005). controversies in fluid resuscitation for burn management: literature review and our experience. injury, 37(5), 374-379

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.

if you are unable to access this article you might try burns, resuscitation and early management.