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The Lund and Browder chart is a tool useful in the management of burns for estimating the total body surface area affected. It was created by Dr. Charles Lund, Senior Surgeon at Boston City Hospital, and Dr. Newton Browder, based on their experiences in treating over 300 burn victims injured at the Cocoanut Grove fire in Boston in 1942.
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:
To estimate the body surface area of a burn, the rule of nines assigns BSA values to each major body part: [3] This allows the emergency medical provider to obtain a quick estimate of how much body surface area is burned. For example, if a patient's entire back (18%) and entire left leg (18%) are burned, about 36% of the patient's BSA is affected.
Total body surface area (TBSA) is an assessment of injury to or disease of the skin, such as burns or psoriasis. 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] [2] [3] The milliliter amount of fluid required for the first 24 hours – usually Lactated Ringer's – is four times the product of the body weight and the burn percentage (i.e. body surface area affected by burns). [4] The first half of the fluid is given within eight hours from the burn incident, and the remaining over the next 16 hours.
Sizzling sidewalks and unshaded playgrounds pose risks for surface burns as air temperatures reach new summertime highs in Southwest cities like Phoenix, which just recorded its hottest June on record. The average daytime high was 109.5 degrees Fahrenheit (43 Celsius), without a single 24-hour high below 100 (37.7 C).
In physiology and medicine, the body surface area (BSA) is the measured or calculated surface area of a human body.For many clinical purposes, BSA is a better indicator of metabolic mass than body weight because it is less affected by abnormal adipose mass.
To determine the management strategy of any burn, it is essential that the Total Burn Area is calculated. This differs from an adult to a child as the total body surface area is divided up differently for a child and for an adult- mainly as a child's head takes up a larger percentage of the TBSA than it does in a fully developed adult.