Impact of fluid resuscitation volume on the severity of organ failures in severely burned patients

Adequacy of fluid resuscitation remains a cornerstone of early burn management. The Parkland formula - that is, administration of 4 ml/kg/% total of the body surface area (TBSA) burned with Ringer's lactate for the first 24 hours post injury - has been used for decades. The purpose of this study was to evaluate the effect of adherence with the Parkland protocol and its impact on the severity of organ failure during the first week post injury using the Sequential Organ Failure Assessment (SOFA) score.