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BURNS
PATTERN:
NEETPG/
Topic

NEXT/
Sub: SURGERY INICET

# 234
A 5 year old child presents to the emergency department with burns.
Burn area corresponding to the size of his palm is:
A 1% BSA [B] 5% BSA [C] 10% BSA [D] 20% BSA

#REASON

OO In
the case of smaller burns and burns in children, the best
measurement is to cut a piece of clean paper the size of the
patient’s whole hand (digits and palm) and compare this with
area of burns. Size of the hand represents 1% TBSA.
 #TOPIC DISCUSSION

CALCULATION OF TBSA OF BURNS:

OO Another accurate way of measuring the size of burns is to draw the

burn on a Lund and Browder chart Q
OO It maps out the percentage TBSA of sections of our anatomy.
OO It also takes into account different proportional body surface area in
children according to age.

OO The ‘rule of nines’, which states that each upper limb is 9% TBSA,
each lower limb 18%, the torso 18% each side and the head and
neck 9%, can be used as a rough guide to TBSA outside the hospital
environment.

#EXTRAMILE

OO The patient’s whole hand is 1% TBSA, and is a useful guide in small

burns 
OO The Lund and Browder chart is useful in larger burns. 
OO It is the best method. 
OO The ‘rule of nines’ is adequate for a first approximation only

Degrees of burns:

Ref: Bailey and love's, 27 th edition, pg621

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