Fluid Resuscitation Pre-Transport - First Four Hours

Start IV fluid resuscitation if:

• %BSA is greater than 20 % in otherwise healthy individuals.

• %BSA is greater than 10 % in young, elderly or those with compromising medical conditions.

Modified Parkland Formula

• Deficit is calculated from the time of injury and is replaced using this as Time 0;

• 1/2 the calculated volume is given in the first 8 hours and the 2nd half is given over the remaining 16 hours;

• 2-4 ccs Ringers Lactate X % BSA X Lean Weight per 24 hours
• in children, maintenance fluids are required in addition to therapeutic requirements, based on the following:
  • Less than 10 kg - 4 cc/kg/hr
  • 10 - 20 kg - 2 cc/kg/hr
  • greater than 20 kg - 1 cc/kg/hr

• Infants are very prone to hypoglycemia due to limited glycogen stores and therefore should be resuscitated with D5RL as well as having frequent glucometer checks.

Note: All patients requiring resuscitation require Foley catheter.

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