Burn Chart Rule Of Nines
Obtain iv access for burns 15 tbsa preferably in upper extremities.
Burn chart rule of nines. Use lr based on consensus formula 2 ml x weight in kg x tbsa 24 hour fluid total. The rule of nines is meant to be used for. The rule of nines is a standardized method used to quickly assess how much body surface area bsa has been burned on a patient.
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. Rule of nines diagram.
Going through burned tissue is acceptable. This rule is only applied to partial thickness 2 nd degree and full thickness 3 rd degree burns. A standard lund browder chart is readily available in most emergency departments for a quick assessment of total body surface area burns.
The wallace rule of nines is useful in approximating the percentage of a patient that is burned. Two large bore ivs 40 tbsa. 9 complete left arm.
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. Second degree burns also known as partial thickness burns third degree burns known as full thickness burns. 9 complete right arm.
If this is not available the rule of nines is fairly accurate in adult patients. It smears a percent of body surface area repeatedly a multiple of 9 for various parts of the body as follows.