Diagnose the burn area

2021-01-30 12:00 AM

Newborns have a big head, short neck, small chest, big belly. During the development phase, lower limbs increase 5 times, upper limbs 4 times, torso 3 times, head 2 times

The total area of ​​the skin

Normally 14000-16000 cm2 in an adult.

Children: Varies with age:     

Infants: 0,25m 2.

1 year old: 3000cm 2.

2 years old: 4000cm 2.

3 years old: 5000cm 2.

4 - 6 years old: 6000cm 2.

7 - 8 years old: 8000cm 2.

9 - 15 years old: age number + 000.

How to calculate the burn area

Calculate S relative to the total number of S skins (as a percentage).

In burns, errors of ± 3-5% are allowed.

For the most accurate diagnosis: The figure => wound pressure after calculating the most accurate S.

In adults

There are many methods, should be applied in combination.

Blokhin method:
Use the patient's hand.

1 patient hand liver or backhand, respectively 1%.

Or use when scorching, small.

Wallace number 9 method:

1 upper expenditure: 9%.

Front body: 9 x 2 = 18%.

Rear body: 9 x 2 = 18%.

1 lower limb: 9 x 2 = 18%.

Thigh: 9%.

Legs + feet: 9%.

Methods 1-3-6-9:

first%:

1 hand, backhand.

Neck.

Nape.

Genital, episiotomy.

3%:

The scalp has hair.

Face.

Arm.

Arm.

Foot.

6%: 

Leg.

2 buttocks.

9%:

1 limb above.

1 thigh.

Head to the neck.

18%:

Front of body.

1 lower limb.

Rear body (including 2 buttocks).

In children

Due to the uneven development of the body: A newborn has a big head, a short neck, a baby's chest, and a large belly. During the development phase, lower limbs increase 5 times, upper limbs 4 times, trunk 3 times, head 2 times.

Or use Blokhin.

Use pre-calculated tables such as the Lund C and Browder N 1944, Portnhicop BV 1957, Luckmann J and Sorensen 1987.

How to record burn injuries

Burn area (deep area) agent - burn phase - associated disease.

Burn degree - burn site.

In summary: The area diagnosis requires meticulousness, accuracy, a combination of methods and close monitoring to make additional diagnosis properly.