Lund and Browder chart—This chart, if used correctly, is the most accurate method. It compensates for the variation in body shape with age and therefore can. Assessment of burn size: Lund and Browder chart. % total body surface area burn. Be clear and accurate, and do not include erythema. %. REGION. P. A. R. Download scientific diagram | Lund and Browder chart (with age appropriate measurements of BSA) from publication: Special considerations in paediatric burn.

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Blisters should be de-roofed to assess the base.

BurnsService development and delivery. They are then packed with Kaltostat alginate dressing and dressed with the burn.

Lund and Browder chart – Wikipedia

Please login to make use of our journal subscription feature. This counting of the squares and division by four is easily done and requires no dealing in fractions.

Deep dermal injuries have a mottled cherry red colour that does not blanch fixed capillary staining.

Therefore, in acute situations lengthy depth assessment is inappropriate. Measurement of wound size and, more specifically, surface area is an important aspect of assessing any wound.

Insect bite Spider bite Snakebite. Results are also consistent when repeated by different assessors.


His burn occurred at 3 pm. Unlike the Wallace rule of ninesthe Lund and Browder chart takes into consideration of age of the person, [2] with decreasing percentage BSA for the head and increasing percentage BSA for the legs as the child ages, making it more useful in pediatric burns.

Exudate management Infection and biofilm Leg ulcers. You can help Wikipedia by expanding it. Acute wounds Chronic and complex wounds Diabetic foot ulcers. The estimation of areas of burns. Skin integrity Wellbeing and concordance Wound assessment. Geriatric trauma Pediatric trauma.

ABC of burns: Initial management of a major burn: II—assessment and resuscitation

The end point to aim for is a urine output of 0. Notes This is the fifth in a series of 12 articles. An audit of patients. Hand area as a percentage of body surface area. Views Read Edit View history.

A critical evaluation of the Lund and Browder chart

Please login to make use of our reading list feature. Again these are guidelines, and experienced staff can exercise some discretion either way. Click here to view your reading list. A dry, leathery or waxy, hard wound that does not blanch is full thickness.

The above regimens are merely guidelines to the probable amount of fluid required. Sir, Proper care of patients with burns requires an accurate assessment of the extent of the burnt area. In this article, important clinimetric properties that are applicable to lund-brwoder Lund and Browder chart, such as its reliability, concurrent and construct validity, acceptability and readability will be evaluated and weaknesses will be identified.


Burn occurred at 3 pm, so 8 hour point is lunf-browder pm. It has the advantage of being easy to calculate lund-browderr the rate is titrated against urine output. Plast Reconstr Surg ; This lund-browver be continuously adjusted according to urine output and other physiological parameters pulse, blood pressure, and respiratory rate. There are three commonly used methods of estimating burn area, and each has a role in different scenarios.

The tool used for such an assessment must be as robust, precise and reliable as possible and should have the least possible scope for errors.

Urine output of 0. Please review our privacy policy. Superficial—The burn affects the epidermis but not the dermis such as sunburn. Journal List BMJ v.