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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.
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 ...
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:
The rule of nines was designed for adult patients. It is less accurate in young children due to their proportionally bigger heads and smaller mass in the legs and thighs, although one study did find it was accurate for patients as small as 10 kg. [1] To account for children's proportional differences, a "rule of nines for children" was proposed ...
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More accurate estimates can be made using Lund and Browder charts, which take into account the different proportions of body parts in adults and children. [11] The size of a person's handprint (including the palm and fingers) is approximately 1% of their TBSA. [11]