Rule of Nine (9)

The rule of nines assesses the percentage of burn and is used to help guide treatment decisions including fluid resuscitation and becomes part of the guidelines to determine transfer to a burn unit.

Parkland Formula

Fluid Replacement 
Total Body Surface Area(TBSA) 

Fluid requirements:
TBSA burned (%) x Weight (kg) x 4mL 

Give 1/2 of total requirements in first 8 hours, then give 2nd half over next 16 hours

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