View 15 Child Body Surface Area Burns - The National Burn Repository reports that the average burn size is 13.4 percent of the total body surface area 1. These estimates are highly reliant on the user, which may result in overestimation and substantial inter-rater variability 2. This is a problem for all classic burn estimating methodologies, though. Chart by Lund and Browder Objective: Calculating the surface area affected is critical for evaluating and treating burns. According to conventional wisdom, the palm accounts for around 1% of the total body surface area (TBSA). However, early twentieth-century research indicates that the palmar surface of the whole hand accounts for around 1% of the TBSA.
Children have a greater surface area burnt than adults do because an infant's or young child's head and lower extremities have a different proportion of surface area than an adult's head and lower limbs (see Figure 8). Burns that exceed 15% in an adult, 10% in a kid, or any burn that occurs in the very young or old are considered severe. Continued on the next page The Rule of Nines for Determining the Extent of Burned Body Surface Adjust percentages for children since they have proportionately bigger heads (up to 20%) and shorter legs (13% in babies). Lund-Browder diagrams increase the accuracy of the percent TBSA for children. The palmar hand surface contains around 1% TBSA.
Over the first 24 hours of treatment, the formula suggests 4 milliliters per kilogram of body weight in adults (3 milliliters per kilogram in children) per percentage burn of total body surface area (percent TBSA). Formula for Parkland 4 milliliters per kilogram per percent TBSA (3 milliliters per kilogram per percent TBSA in children) = total crystalloid fluid consumed over the first 24 hours. Electrical burns cause harm to bodily tissues below the skin's surface that are not apparent. If an electrical burn develops, contact 911 or have someone else call 911 for immediate medical help. If the kid has vomited or has had a major facial or mouth injury, you may turn him or her on his or her side.
