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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.
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
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.
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The rule estimates nine per cent for the head and each arm, 18 per cent each for lower limbs and front and back of the trunk, and 1 per cent for the perineal region. The extent of a burn is expressed as the percentage of the body surface area affected called the total burn surface area (TBSA). The TBSA is used to help calculate the volume of ...
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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 back of the torso, and 9% for the head and 1% for the perineum. [7]
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] Studies have shown that the Baux score is highly correlative with length of stay in hospital due to burns and final outcome. [3]