Know Your Guidelines – Burn Resuscitation: Parkland Formula?

Andrea Eberly, MD, MS, FAAEMEmergency Medicine, Guideline Knowledge Check, Medical News

Emergency Medicine Guidelines Knowledge Check Burn Resuscitation

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Today’s Guideline Knowledge Check question comes from the desk of Med-Challenger Emergency Medicine Editor-in-Chief, Andrea Eberly, MD, FAAEM.

Based on current Advanced Trauma Life Support Guidelines,

… is fluid resuscitation of burn patients still based on the traditional Parkland formula?

Yes or No?

Try this review question and find out if you're following the most current guideline.

Guideline Review Question

A 35-year-old woman was a passenger in a small aircraft that caught fire after striking another aircraft on the runway. She has sustained second-degree burns over approximately 36% of her total body surface area (TBSA). She weighs 220 pounds (100 kg) and was in good health prior to the incident.

According to the current (2018) Advanced Trauma Life Support (ATLS) guidelines, what is her estimated need for intravenous fluids during the first 24 hours of care?

~ 7 L normal saline

~ 14 L normal saline

~ 7 L lactated Ringer solution

~ 14 L lactated Ringer solution

Answer Explanation & References:

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With each update of national clinical practice guidelines, some recommendations change and many remain unchanged. Med-Challenger Guideline Knowledge Checks help you know both what is new and what has stayed the same in the most recent guidelines pertinent to various medical specialties.

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About the Author:

Andrea Eberly, MD, FAAEM graduated from the David Geffen Medical School of Los Angeles (UCLA) and completed her residency in Emergency Medicine at the University Medical Center, Tucson, Arizona. After working as an attending physician in Tucson, she followed a recruiting call to the island of Guam, where she served in various roles, including as the director of the emergency department, the EMS Medical Director of Guam, and the Director of the 911 Call System. She has maintained her emergency medicine board certification through three cycles of American Board of Emergency Medicine Board Exams (last in 2014), all three with the help of Med-Challenger.

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