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9 complete right arm.
Burn chart rule of nines. The rule of nines is a standardized method used to quickly assess how much body surface area bsa has been burned on a patient. Going through burned tissue is acceptable. The wallace rule of nines is useful in approximating the percentage of a patient that is burned.
The rule of nines is meant to be used for. An adult who has been burned the percent of the body involved can be calculated as follows. A standard lund browder chart is readily available in most emergency departments for a quick assessment of total body surface area burns.
Rule of nines diagram. You can estimate the body surface area on an adult that has been burned by using multiples of 9. Initiate iv fluid resuscitation for burns 15 tbsa.
9 complete left arm. Obtain iv access for burns 15 tbsa preferably in upper extremities. The first step in assessing a burn and planning resuscitation involves a careful examination of all body surfaces.
Two large bore ivs 40 tbsa. This rule is only applied to partial thickness 2 nd degree and full thickness 3 rd degree burns. It smears a percent of body surface area repeatedly a multiple of 9 for various parts of the body as follows.
If this is not available the rule of nines is fairly accurate in adult patients. The diagram below depicts bsa percentages for adults and infants of one year or less.
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