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Burn Fluid Resuscitation (Third Military Medical University Formula)

Weight
kg
Burn Surface Area Percentage
%
Time After Burn
hours
Current Fluid Volume
ml
Burn First Day:

ml

Total Fluid Volume

ml

Lactated Ringer's Solution Volume

ml

Colloid Solution Volume

ml

Daily Normal Water Requirement (5% Dextrose Injection)
First 8 Hours After Burn:

ml

Initial Fluid Volume (First 8h)

ml/h

Initial Fluid Rate (First 8h)
16 Hours After First Day:

ml

Initial Fluid Volume (After 16)

ml/h

Initial Fluid Rate (After 16)
Second Day After Burn:

ml

Electrolyte Solution Volume

ml

Colloid Solution Volume

ml

Daily Normal Water Requirement (5% Dextrose Injection)

Calculation Formula

Burn First Day:

Total Fluid Volume Qty=tbsa×Weight×1.5+2000

Lactated Ringer's Solution Volume=tbsa×Weight×1

Colloid Solution Volume= tbsa×Weight×0.5

Daily Normal Water Requirement (5% Dextrose Injection)=2000

First 8 Hours After Burn:

Initial Fluid Volume=Qty/2-Current Fluid Volume

Initial Fluid Rate=Initial Fluid Volume/(8-Time After Burn)

16 Hours After First Day:

Additional Fluid Volume=Qty/2

Additional Fluid Rate=Qty/2/16

Second Day After Burn:

Electrolyte Solution Volume=tbsa×Weight/2

Colloid Solution Volume= tbsa×Weight×0.25

Daily Normal Water Requirement (5% Dextrose Injection)=2000

Instructions

Burn Surface Area Percentage (TBSA, total burn surface area).

During the first 24 hours after injury, adults receive 1ml of lactated Ringer's solution and 0.5ml of colloid for every 1% of second-degree and third-degree burn area, while also receiving a baseline fluid of 2000ml. Half of the estimated volume is given in the first 8 hours post-injury, and the other half in the following 16 hours; in the second 24 hours, the volume of electrolytes and colloids is halved while the baseline fluid remains unchanged.

This formula was developed in 1962 based on the early fluid resuscitation data of 147 adults with large area burns.

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