- Fluid boluses in paediatric trauma is 20 ml/kg (0.9% saline or ringer’s lactate).
- If hypotensive after two boluses of fluid, packed red cells should be administered (10 ml/kg).
- Maintenance fluid requirement for children (excluding losses from drains, etc.) can be calculated as:
- 100 ml/kg/24 h for the first 10 kg of weight
- 50 ml/kg/24 h for the next 10 kg of weight
- 20 ml/kg/24 h for each kg over 20 kg