What formula should be used to calculate the fluid requirement for a pediatric burn greater than 10% TBSA?

The Parkland formula is the recommended method for calculating fluid requirements in pediatric patients with burns greater than 10% total body surface area (TBSA). This formula accounts for the severity of burns and the need for fluid resuscitation, which is critical to prevent hypovolemic shock and other complications.

The Parkland formula specifically dictates that the total fluid requirement within the first 24 hours is calculated as 4 mL of Ringer's lactate per kilogram of body weight multiplied by the percentage of TBSA burned. This initial resuscitation is essential, especially in children, as they are particularly vulnerable to fluid loss and shock due to their relatively higher surface area-to-volume ratio.

Using the Parkland formula allows healthcare providers to adequately assess and manage the fluid resuscitation of pediatric burn patients effectively, ensuring they receive the necessary care to stabilize their condition. While there are other formulas referenced in burn management, such as the Brooke or Manyard, they are not as widely practiced or have different applications, making the Parkland formula the standard for this context.