Burn Chart Rule Of Nines
The rule of nines is meant to be used for.
Burn chart rule of nines. Going through burned tissue is acceptable. If this is not available the rule of nines is fairly accurate in adult patients. Initiate iv fluid resuscitation for burns 15 tbsa.
The first step in assessing a burn and planning resuscitation involves a careful examination of all body surfaces. The wallace rule of nines is useful in approximating the percentage of a patient that is burned. The rule of nines is a standardized method used to quickly assess how much body surface area bsa has been burned on a patient.
A standard lund browder chart is readily available in most emergency departments for a quick assessment of total body surface area burns. Obtain iv access for burns 15 tbsa preferably in upper extremities. 9 complete right arm.
Second degree burns also known as partial thickness burns third degree burns known as full thickness burns. Two large bore ivs 40 tbsa. Use lr based on consensus formula 2 ml x weight in kg x tbsa 24 hour fluid total.
You can estimate the body surface area on an adult that has been burned by using multiples of 9. Rule of nines diagram. The rule of nines assesses the percentage of burn and is used to help guide treatment decisions including fluid resuscitation and becomes part of the guidelines to determine transfer to a burn unit.
It smears a percent of body surface area repeatedly a multiple of 9 for various parts of the body as follows. An adult who has been burned the percent of the body involved can be calculated as follows.