Pediatric burn injury
| A | 0.25 | |
| B |
0.26 |
|
| C |
0.35 |
|
| D |
0.45 |
A 3 year old child suffers from burn injury with the following body parts involved: face including scalp, both buttocks and circumferentially around both thighs. How much is TBSA involved?
| A |
0.25 |
|
| B |
0.26 |
|
| C |
0.35 |
|
| D |
0.45 |
Ans is ‘c’ i.e. 0.35
Using Modified Lund-Browder chart:
|
Area |
Percentage |
|
|
Face |
9 |
|
|
Scalp |
9 |
|
|
Both buttocks |
2.5 + 2.5 = 5 |
|
|
Both thighs circumferentially |
3.5 x 2 + 3.5 x 2 = |
15 |
|
Total body surface area |
38 |
|
AIIMS 13
| A |
Rule of nine |
|
| B |
Lund and Browder |
|
| C |
Palmer surface method |
|
| D |
Hasse’s rule |
Ans. Lund and Browder
Head and neck burns in infant constitute _____________of burns:
Kerala 08
| A |
9 |
|
| B |
18 |
|
| C |
24 |
|
| D |
36 |
Ans. 18
A 2-year-old child had burns on buttocks, both legs, face, neck and singeing of hair. Total surface area burnt:
JIPMER 14
| A |
27% |
|
| B |
37% |
|
| C |
45% |
|
| D |
55% |
Ans. 37%
In a 6-year-old child with burns involving whole of head and trunk, the estimated body surface area involved:
JIPMER 09
| A |
44% |
|
| B |
48% |
|
| C |
55% |
|
| D |
58% |
Ans. A (44%)
The ‘rule of nines’, which states that each upper limb is 9% TBSA, each lower limb 18%, the torso 18% each side and the head and neck 9%, can be used as a rough guide to TBSA outside the hospital environment.
The Lund & Browder chart
| Age in years | 0 | 1 | 5 | 10 | 15 | Adults |
| A Head | 9 | 8 | 6 | 5 | 4 | 3 |
| B thigh | 2 | 3 | 4 | 4 | 4 | 4 |
| C Leg | 2 | 2 | 3 | 3 | 3 | 3 |
Parkland formula for burns is for:
Maharashtra 09; UP 09; Bihar 12
| A |
Ringer lactate |
|
| B |
Glucose saline |
|
| C |
Normal saline |
|
| D |
25% dextrose |
Ans. Ringer lactate
