Burns Management || Rule of 9 | Parkland's formula | how to calculate the iv fluid for burns patient

‪@lovemedics‬ Management of burns patient In this video we are going to learn about Iv fluid calculation for burns patient Burns management involves assessing the severity of burns, determining treatment options, and calculating fluid resuscitation requirements. The "rule of nines" and Parkland formula are two important methods used in initial assessment and fluid resuscitation planning for burn patients. Rule of Nines The rule of nines is a method used to estimate the total body surface area (TBSA) affected by burns, which helps guide initial management and fluid resuscitation. The body is divided into percentages of nine, with each body part or region assigned a specific percentage: Head and Neck: 9% Each Arm: 9% (total for both arms = 18%) Each Leg: 18% (total for both legs = 36%) Anterior Trunk: 18% Posterior Trunk: 18% Genitalia: 1% This method is typically used for adults and older children, where the body proportions are more standardized. It provides a quick estimate of the extent of burns and helps determine the initial fluid resuscitation needs. Parkland Formula The Parkland formula (also known as the Baxter formula) is used to calculate the fluid requirements for fluid resuscitation during the initial 24 hours after a burn injury. The formula helps replace fluids lost due to burns and prevent hypovolemic shock. The Parkland formula calculation is as follows: First 24 Hours Fluid Requirement (in mL): 4 mL × TBSA (%) × Body Weight (kg) Example Calculation: If a patient weighs 70 kg and has burns covering 30% of their TBSA: Fluid requirement = 4 mL × 30% × 70 kg Fluid requirement = 4 × 0.30 × 70 Fluid requirement = 8400 mL (or 8.4 liters) over the first 24 hours Implementation and Considerations Timing: Fluid resuscitation should begin promptly upon recognition of burn injury, ideally within the first few hours after the injury. Fluid Type: Typically, lactated Ringer's solution is used initially. The first half of the calculated fluid volume is administered over the first 8 hours, and the remaining half is given over the next 16 hours. Monitoring: Close monitoring of urine output, vital signs, and clinical status is essential to adjust fluid administration based on the patient's response. Special Considerations: Adjustments may be necessary based on age (children and elderly), comorbidities, inhalation injury, and other factors influencing fluid requirements. so don't miss the video calculate the Iv fluid and secure the patient #lovemedics #medical #emergency #doctor #burns #emergencycare #physicianassistant #physician #generalmedicine #generalsurgery #surgeon