What formula is used for IVF fluid calculation in electrical burns?

The appropriate formula for calculating intravenous fluid (IVF) requirements in patients with electrical burns is 4 ml of lactated Ringer's solution (LR) per kilogram of body weight per percentage of total body surface area (TBSA) burned. This calculation is critical because electrical burns often involve greater damage compared to thermal burns, potentially resulting in significant tissue injury, rhabdomyolysis, and other complications that may require a more substantial fluid resuscitation effort.

This formula accounts not only for the burned surface area but also for the patient's weight, ensuring that the fluid resuscitation is tailored to the individual's needs. The 4 ml/Kg/TBSA approach is adapted from the Parkland formula, which is widely used in burn management to guide the initial fluid resuscitation strategy, particularly during the first 24 hours post-injury.

Ensuring adequate fluid volume is essential because electrical burns can lead to complications such as acute kidney injury; thus, proper resuscitation helps maintain organ perfusion and function. The selection of lactated Ringer's solution as the fluid of choice also aligns with common medical practice due to its balanced electrolyte composition, which can benefit the overall management of burn patients.