MORLEIGHRN

I agree with everything that was said above. In my experience the Parkland Formula is the starting point and it depends on the doc and the condition of the patient where you go from there. I can say that almost 80 percent of the time the Parkland is followed for the first eight hours and then our doc has us keep the output over 30cc per hour. We do keep to the 30cc on the hour very closely and the rate of the fluids is titrated accordingly. We also have done some studies where we infuse Vitamin C for the first 24 hours (it is a pain by the way) and they start on the Parkland but it is adjusted differently this way also. Don't know if that helps, but if you get the opportunity to see a critical burn patient all of this will make a lot more sense. It is hard to imagine why and how, but seeing it helps.