Minor
(Green)
Serious
(Yellow)
Critical
(Red)
>15% TBSA 2nd/3rd Degree Burn
Burns with Multiple Trauma
Burns with definitive airway compromise
(When reasonable accessible, transport to a
Burn Center)
5-15% TBSA 2nd/3rd Degree Burn
Suspected Inhalation injury or requiring intubation
for airway stabilization
Hypotension
GCS < 14
(When reasonable accessible, transport to either a
Level I Burn Center or a Trauma Center)
< 5% TBSA 2nd/3rd Degree Burn
No inhalation injury, Not Intubated,
Normotensive
GCS>14
(Transport to the Local Hospital)
Burns Resources
Fluid Formula
Formula for Fluid Resuscitation of the Burn
Patient (Also known as the Parkland Formula)
Pts Wt kg x %TBSA x 4.0cc LR infused over 24 hours with half
given in the first 8 hours.
(For the equation, the abbreviations are: PW x TBSA x 4.0 cc )
EMS focuses on the care given during the 1st hour or several
hours following the event. Thus the formula as adapted for
EMS and the first 8 hours is:
PW x TBSA x 4.0 cc, divide by 2
to take this to the hourly rate, divide that solution by 8 and the
equation becomes:
PW x TBSA x 4.0cc / 2 / 8 = total to be infused for each of the
first 8 hours.
Another way to state the equation is to use:
PW x TBSA x 0.25cc = total to be infused for each hour of the
first 8 hours.
Example, 80 kg patient with 50 %TBSA x 0.25 cc = 1000 cc/hr.
Remember:
Patient’s Weight in kg (2.2 lbs = 1.0 kg) example: 220 lbs
adult = 100 kg
% TSBA = Rule of Nine Total Body Surface Area
Factor for the 1st hr. and each hr. for the 1st 8 hrs. = 0.25
(Reminder, if two IV’s are running, divide total amount to be
infused each hr. by 2)
Appendix J
