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9 complete left arm.
Burn chart rule of 9. The wallace rule of nines is useful in approximating the percentage of a patient that is burned. Two large bore ivs 40 tbsa. Rule of nines diagram.
If this is not available the rule of nines is fairly accurate in adult patients. See the rule of nines as follows. 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. A standard lund browder chart is readily available in most emergency departments for a quick assessment of total body surface area burns. 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. 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. Note that a patient s palm is approximately 1 tbsa and can be used for estimating patchy areas.
The diagram below depicts bsa percentages for adults and infants of one year or less. Use lr based on consensus formula 2 ml x weight in kg x tbsa 24 hour fluid total. Obtain iv access for burns 15 tbsa preferably in upper extremities.
9 complete right arm.
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