Burns: The Daily PANCE Blueprint

Home Burns: The Daily PANCE Blueprint

Burns: The Daily PANCE Blueprint

A 32-year-old man weighing 70 kg is brought to the emergency department after sustaining burns in a fireworks accident. He has partial and full-thickness burns involving the anterior trunk and the anterior surface of both legs, which together are estimated to cover 20% of his total body surface area (TBSA). He is alert but in significant pain. According to the Parkland formula, how much intravenous fluid should he receive in the first 8 hours after injury?

A. 1,400 mL
B. 2,800 mL
C. 5,600 mL
D. 7,000 mL
E. 8,400 mL

Answer and topic summary

The answer is B. 2,800 mL

The Parkland formula is used to calculate the amount of intravenous fluid required for burn patients in the first 24 hours. The formula is: Total fluid in 24h = 4 mL x TBSA (%) x body weight (kg).

  • Calculation: 4 mL x 20 (%) x 70 kg = 5600 mL.
  • This is the total volume for 24 hours. The rule is to give half of the total fluid in the first 8 hours from the time of the burn.
  • First 8 hours fluid: 5600 mL / 2 = 2800 mL. (The remaining half is given over the next 16 hours).
View blueprint lesson

Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Dermatology ⇒ Skin integrity ⇒ Burns 

Also covered as part of the Emergency Medicine EOR, Family Medicine EOR, Pediatric EOR, and Surgery EOR topic lists

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