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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.
5% body surface area for each arm; 20% BSA for each leg; 50% for the trunk, and; 2% for the head. Other studies have found that the rule of nines tends to over-estimate total burn area, [5] and that ratings can be subjective, [6] but that it can be performed quickly and easily, and provide reasonable estimates for initial management of burn ...
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.
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.
For example, a person weighing 75 kg with burns to 20% of his or her body surface area would require 4 x 75 x 20 = 6,000 mL of fluid replacement within 24 hours. 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.
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]
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 ...
In 1944, Lund and Browder, drawing upon their experiences in treating Cocoanut Grove victims, published the most widely cited paper in modern burn care, "Estimation of the Areas of Burns", in which a diagram for estimating burn size are presented. This diagram, called the Lund and Browder chart, remains in use throughout the world today. [31] [32]