Which statement about Parkland Burn Formula timing is true?

• A. The first half is given in the first 24 hours.
• B. The entire calculated volume is delivered within 24 hours.
• C. The first half is given in the first 8 hours; remainder over the next 16 hours.
• D. The first half is given in the first 8 hours; remainder over the next 12 hours.

Answer: (C)

The timing of Parkland burn resuscitation is that you calculate the total fluid need over 24 hours (using 4 mL per kg per percent TBSA burned) and deliver half of that amount in the first 8 hours from the time of burn, with the remaining half given over the next 16 hours. This early, aggressive distribution helps restore circulating volume and perfusion to burned tissues while preventing excessive delays in fluid replacement.

So, the correct statement is that the first half is given in the first 8 hours and the remainder over the next 16 hours. Time is counted from the moment of injury, not arrival to care, and Lactated Ringer’s is the typical fluid used in adults.

Why the other options don’t fit: giving the first half in 24 hours delays critical early resuscitation; delivering the entire calculated volume in 24 hours ignores the needed split in the first 8 hours; and providing the remainder over 12 hours shortens the later phase, which is not consistent with Parkland timing.