Use in adult patients with burns. Children have larger TBSA relative to weight and may require larger fluid volumes.
Rule of 9s for Adults: 9% for each arm, 18% for each leg, 9% for head, 18% for front torso, 18% for back torso.
Rule of 9s for Children: 9% for each arm, 14% for each leg, 18% for head, 18% for front torso, 18% for back torso.
ADVICE
It is important to remember that all resuscitation formulas be used as a guide. Patients should be assessed frequently, with individual adjustments made to maintain adequate organ perfusion.
MANAGEMENT
- Give the first half of the calculated volume over the first 8 hours from the time of burn (not from arrival), and the second half over the next 16 hours.
- Titrate fluids to urine output and clinical perfusion rather than giving the calculated volume without reassessment.
