Estimating body surface area: Difference between revisions
| (7 intermediate revisions by 4 users not shown) | |||
| Line 1: | Line 1: | ||
==Rule of Nines== | ==Rule of Nines== | ||
[[File: | [[File:Wallace Rule of Nines-png.png|thumb|[[Rule of Nines]]]] | ||
{| class="wikitable" | {| class="wikitable" | ||
|+ '''Adults''' | |+ '''Adults''' | ||
| Line 76: | Line 76: | ||
[[File:Lund+Browder Chart.png|thumbnail|Lund Browder Chart to document initial TBSA assessment.]] | [[File:Lund+Browder Chart.png|thumbnail|Lund Browder Chart to document initial TBSA assessment.]] | ||
''An alternative method of estimate burn surface area'' | ''An alternative method of estimate burn surface area'' | ||
*More accurate than "Rule of Nines," especially in pediatric patients | |||
{| class="wikitable" | {| class="wikitable" | ||
|+ '''Children''' | |+ '''Children''' | ||
| Line 100: | Line 101: | ||
| 4.5% | | 4.5% | ||
|- | |- | ||
| Anterior | | Anterior Neck | ||
| 1% | | 1% | ||
| 1% | | 1% | ||
| Line 231: | Line 232: | ||
==References== | ==References== | ||
[[Category:Misc/General]] | |||
[[Category:Trauma]] | |||
Latest revision as of 15:55, 11 December 2024
Rule of Nines
| Anatomic structure | Surface area |
|---|---|
| Anterior Head | 4.5% |
| Posterior Head | 4.5% |
| Anterior Torso | 18% |
| Posterior Torso | 18% |
| Each Anterior Leg | 9% |
| Each Posterior Leg | 9% |
| Each Anterior Arm | 4.5% |
| Each Posterior Arm | 4.5% |
| Genitalia/Perineum | 1% |
| Anatomic structure | Surface area |
|---|---|
| Anterior Head | 9% |
| Posterior Head | 9% |
| Anterior Torso | 18% |
| Posterior Torso | 18% |
| Each Anterior Leg | 6.5% |
| Each Posterior Leg | 6.5% |
| Each Anterior Arm | 4.5% |
| Each Posterior Arm | 4.5% |
| Genitalia/Perineum | 1% |
Rule of Palms
- Patient's entire hand (palm+fingers) = about 1% TBSA
- Use to estimate scatter burns
- Also use for local burns up to 10% BSA
Lund-Browder Classification
An alternative method of estimate burn surface area
- More accurate than "Rule of Nines," especially in pediatric patients
| Anatomic structure | 0 Yr | 1 Yr | 5 Yrs | 10 Yrs | 15 Yrs |
|---|---|---|---|---|---|
| Anterior Head | 9.5% | 8.5% | 6.5% | 5.5% | 4.5% |
| Posterior Head | 9.5% | 8.5% | 6.5% | 5.5% | 4.5% |
| Anterior Neck | 1% | 1% | 1% | 1% | 1% |
| Posterior Neck | 1% | 1% | 1% | 1% | 1% |
| Anterior Torso | 13% | 13% | 13% | 13% | 13% |
| Posterior Torso | 13% | 13% | 13% | 13% | 13% |
| Each Anterior Upper Leg | 2.75% | 3.25% | 4% | 4.25% | 4.5% |
| Each Posterior Upper Leg | 2.75% | 3.25% | 4% | 4.25% | 4.5% |
| Each Anterior Lower Leg | 2.5% | 2.5% | 2.75% | 3% | 3.25% |
| Each Posterior Lower Leg | 2.5% | 2.5% | 2.75% | 3% | 3.25% |
| Each Anterior Upper Arm | 2% | 2% | 2% | 2% | 2% |
| Each Posterior Upper Arm | 2% | 2% | 2% | 2% | 2% |
| Each Anterior Lower Arm | 1.5% | 1.5% | 1.5% | 1.5% | 1.5% |
| Each Posterior Lower Arm | 1.5% | 1.5% | 1.5% | 1.5% | 1.5% |
| Each Anterior Hand | 1.5% | 1.5% | 1.5% | 1.5% | 1.5% |
| Each Posterior Hand | 1.5% | 1.5% | 1.5% | 1.5% | 1.5% |
| Each Anterior Foot/Ankle | 1.75% | 1.75% | 1.75% | 1.75% | 1.75% |
| Each Posterior Foot/Ankle | 1.75% | 1.75% | 1.75% | 1.75% | 1.75% |
| Each Buttock | 2.5% | 2.5% | 2.5% | 2.5% | 2.5% |
| Genitalia/Perineum | 1% | 1% | 1% | 1% | 1% |