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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 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 ...
Burns that affect only the superficial skin layers are known as superficial or first-degree burns. [ 2 ] [ 11 ] They appear red without blisters, and pain typically lasts around three days. [ 2 ] [ 11 ] When the injury extends into some of the underlying skin layer, it is a partial-thickness or second-degree burn . [ 2 ]
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.
determine mortality due to burns The Baux score is a system used to predict the chance of mortality due to burns . [ 1 ] The score is an index which takes into account the correlative and causal relationship between mortality and factors including advancing age, burn size, the presence of inhalational injury. [ 2 ]
Burn scar contracture is the tightening of the skin after a second or third degree burn. When skin is burned, the surrounding skin begins to pull together, resulting in a contracture. It needs to be treated as soon as possible because the scar can result in restriction of movement around the injured area. This is mediated by myofibroblasts. [1]
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For children and infants, the Lund and Browder chart is used to assess the burned body surface area. Different percentages are used because the ratio of the combined surface area of the head and neck to the surface area of the limbs is typically larger in children than that of an adult. [2] Typical values for common groups of humans follow. [3 ...
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