For electrical burns in all ages, how much fluid should be administered per kg per % TBSA?

In the management of electrical burns, the standard fluid resuscitation guideline is to administer 4 mL of crystalloid fluid per kilogram of body weight for each percent of total body surface area (TBSA) affected by the burn. This formula is crucial because electrical burns often result in more extensive tissue damage than initially visible on the skin's surface, and adequate fluid resuscitation is essential to prevent complications such as renal failure due to myoglobinuria and to maintain hemodynamic stability.

This fluid calculation is part of the Parkland formula, which is commonly used in burn management. Fluid resuscitation is critical in the first 24 hours post-burn to maintain proper circulation and support organ function. The fluid must be tailored according to the patient's weight and the extent of the burn, which is captured by the percentage of TBSA burned.

Understanding this principle allows healthcare professionals to effectively manage burn injuries and mitigate the risks associated with fluid deficits. Adjusting fluid rates based on ongoing assessment, including urine output and vital signs, is also essential for optimal care in these patients.