The Lund and Browder chart is a tool useful in the management of burns for estimating the total body surface area affected. It was created by Dr. Charles Lund. Download scientific diagram | Lund and Browder chart (with age appropriate measurements of BSA) from publication: Special considerations in paediatric burn. With regards to burn wounds this measurement, expressed as The Lund and Browder chart is regarded by most authors as the most accurate.

Author: Nikodal Tobar
Country: Russian Federation
Language: English (Spanish)
Genre: Photos
Published (Last): 12 June 2004
Pages: 412
PDF File Size: 1.67 Mb
ePub File Size: 15.78 Mb
ISBN: 863-8-15918-257-5
Downloads: 29121
Price: Free* [*Free Regsitration Required]
Uploader: Zulule

Notes This is the fifth in a series of 12 articles.

Paediatric Burn Assessment

It was created by Dr. During assessment, the environment should be kept warm, and small segments of skin exposed sequentially to reduce heat loss. Burns units use different resuscitation formulas, and it is best to contact the local unit for advice. A burn is a dynamic wound, and its depth will change depending on the effectiveness of resuscitation.

By using this site, you agree to the Terms of Use and Privacy Policy. Assessing burn depth can be difficult.

Table 4 Key points. The Lund and Browder Chart was first published in and was based on experience treating victims of the Cocoanut Grove fire.


Lund and Browder chart

Newton Browder, based on their experiences in treating over burn victims injured at the Cocoanut Grove fire in Boston in Partial thickness burns can be further divided into superficial, superficial dermal, and deep dermal: Assessment of depth is important for planning treatment, as more superficial burns tend to heal spontaneously whereas deeper burns need surgical intervention, but is not necessary for calculating resuscitation formulas.

The lines are joined up by a chevron incision running parallel to the subcostal margin. Abdominal trauma Chest trauma Facial trauma Head injury Spinal cord injury. In a white patient with extensive burns, such full thickness burns can easily be mistaken for unburnt skin. Divide figure in 2 by 16 to give fluid infusion rate. Support Center Support Center.

This is not easy, as too little fluid will cause hypoperfusion whereas too much will lead to oedema that will cause tissue hypoxia. A series of charts was produced Lund and Browder pp. The score is expressed as: Member feedback about List of albums: A 24 kg child with a resuscitation burn will need the following bgowder fluid:.

Different percentages are used because the ratio of the combined surface area of the head and neck to the surface area of the limbs is typically larger in children than that of an adult. This should be continuously adjusted according to urine output and other physiological parameters pulse, blood pressure, and respiratory rate. Although they are an urgent procedure, escharotomies are best done in an operating theatre by experienced staff.


This creates a mobile breastplate that moves with ventilation. Resuscitation regimens Fluid losses from the injury must be replaced to maintain homoeostasis. Wallace rule of nines topic The Wallace rule of nines is a tool used in lind and emergency medicine to estimate the total body surface area BSA affected by a burn. National Center for Biotechnology InformationU. Wallace rule of nines —This is a good, quick way of estimating medium to large burns in adults.

Lund and Browder chart – Wikipedia

Any fluid already given should be deducted from the calculated requirement. Maintenance fluid required for a child. In particular, children have smaller extremities, but larger heads than adults. Plast Reconstr Surg ; This article has been cited by other articles in PMC.

In addition to determining burn broweer, the measurement of burn surface area is important for estimating patients’ fluid requirements and determining hospital admission criteria.

Inhalational injuries also require more fluid.