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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 rule of nines was devised by Pulaski and Tennison in 1947, and published by Alexander Burns Wallace in 1951. [2] 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.
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:
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.
In large burns (over 30% of the total body surface area), there is a significant inflammatory response. [51] This results in increased leakage of fluid from the capillaries, [22] and subsequent tissue edema. [2] This causes overall blood volume loss, with the remaining blood suffering significant plasma loss, making the blood more concentrated. [2]
A sphere of radius r has surface area 4πr 2.. The surface area (symbol A) of a solid object is a measure of the total area that the surface of the object occupies. [1] The mathematical definition of surface area in the presence of curved surfaces is considerably more involved than the definition of arc length of one-dimensional curves, or of the surface area for polyhedra (i.e., objects with ...
The area of the side is known as the lateral area, L. An open cylinder does not include either top or bottom elements, and therefore has surface area (lateral area) = The surface area of the solid right circular cylinder is made up the sum of all three components: top, bottom and side.