Paediatric Burn Fluid Resuscitation Calculator
Modified Parkland style burn shock calculation for the first 24 hours. Shows the 0–8 h and 8–24 h plan and the remaining rate based on time since burn.
This tool estimates starting rates only. Titrate to perfusion and urine output targets. Consider early senior/burn centre input.
Common paediatric target: urine output about 1 mL/kg/hour.
Common paediatric target: urine output about 1 mL/kg/hour.
Indications to start IV burn resuscitation
- Children with burns around ≥10% TBSA generally require formal IV fluid resuscitation.
- Any concern for burn shock or inadequate oral intake: tachycardia, poor perfusion, lethargy, vomiting.
- High-risk mechanisms or physiology: inhalation injury, electrical burns, associated trauma, delayed presentation.
- Large or deep burns, very young children, or when transfer time to a burns service will be prolonged.
Common IV fluids used
- Lactated Ringer / Hartmann’s: commonly preferred initial crystalloid for burn resuscitation.
- Balanced crystalloids (where locally used): e.g. Plasma-Lyte, Ringer’s acetate.
- Maintenance fluid (separate from burn resuscitation, if used): often contains dextrose for young children (institution-specific).
- Avoid large-volume 0.9% saline as the sole resuscitation fluid where possible due to hyperchloremic acidosis risk.
Results
Awaiting input