First 24 Hours Post-burn in Surgery — 30yo Man | Trauma Surgery | SMLE Q#1662

SMLE Question #1662

Surgery Trauma Surgery

Objective: OBJ-TRM-AIRWAY-01

Last updated: February 2026
A 30-year-old man presents to the emergency department 1 hour after a house fire. He has circumferential deep partial-thickness and full-thickness thermal burns involving both lower limbs from the inguinal regions to the ankles; no other areas are burned. He weighs 70 kg and is alert but in severe pain. Using the Parkland formula, which Ringer's lactate regimen is most appropriate for the first 24 hours post-burn?

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