Educational burn TBSA (Rule of Nines, Lund-Browder, palmar), Parkland and ABA fluid estimates, urine output and referral considerations.
No. Parkland and the ABA starting estimates are educational starting points. The burn team sets the protocol, and the rate is titrated hourly to urine output, perfusion and clinical response.
They are different approaches. Parkland is the classic formula most exam questions use. The American Burn Association's 2024 guideline recommends starting adults with burns of 20% TBSA or more at 2 mL/kg/%TBSA to reduce over-resuscitation. The tool shows both and does not choose for you.
No. Only partial- and full-thickness burns count toward the TBSA used for resuscitation. The tool reports superficial area separately so it is never counted silently.
Children have proportionally larger heads and smaller legs, and the proportions change with age. The tool uses the age-adjusted Lund-Browder chart for anyone under 14.
These answers are for nursing education and exam practice only and do not provide patient-specific medical advice.
Educational use only. These estimates are not fluid or medication orders. Resuscitation is titrated to urine output, perfusion and clinical response under your local burn protocol and the direction of the burn team.
Most sources here are American Burn Association (ABA) guidance. Canadian provincial burn programs set their own protocols and referral pathways (for example, the BC provincial major-burns guideline published in BCMJ in 2012 used 3 mL/kg/%TBSA). Follow your local pathway.
