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The Wallace rule of nines is a tool used in pre-hospital and emergency medicine to estimate the total body surface area (BSA) affected by a burn. In addition to determining burn severity, the measurement of burn surface area is important for estimating patients' fluid requirements and determining hospital admission criteria. [1]
In 1951 Wallace introduced the "Rule of Nines" in an article published in the British medical journal The Lancet: [5]For patients over the age of 16 years the 'Rule of Nines' indicates the percentage of skin surface area accounted for by various parts of the body.
In adults, the Wallace rule of nines can be used to determine the total percentage of area burned for each major section of the body. [ 1 ] In burn cases that involve partial body areas, or when dermatologists are evaluating the Psoriasis Area and Severity Index (PASI) score, the patient's palm can serve a reference point roughly equivalent to ...
The first half of this amount is delivered within eight hours from the burn incident, and the remaining fluid is delivered in the next 16 hours. [ 6 ] The burn percentage in adults can be estimated by applying the Wallace rule of nines (see total body surface area ): 9% for each arm, 18% for each leg, 18% for the front of the torso , 18% for ...
The original Baux score was the addition of two factors, the first being the total body surface area affected by burning (usually estimated using the Wallace rule of nines, or calculated using a Lund and Browder chart) and the second being the age of the patient. The score is expressed as:
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Rule of nines or rule of nine may refer to: Rule of nine (linguistics), an orthographic rule of the Ukrainian language. Rule of nines (mathematics), a test for divisibility by 9 involving summing the decimal digits of a number; Wallace rule of nines, used to determine the percentage of total body surface area affected when assessing burn injuries