# What is the Lund and Browder?

## What is the Lund and Browder?

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, Senior Surgeon at Boston City Hospital, and Dr.

How does the Lund and Browder chart work?

For children and infants, the Lund-Browder chart is used to assess the burned body surface area. 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.

### Why is the Lund and Browder chart more accurate?

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 give an accurate assessment of burns area in children. It is important that all of the burn is exposed and assessed.

When is Lund and Browder chart used?

For children and infants, the Lund-Browder chart is commonly used to assess the burned body surface area. Different percentages are used in paediatrics because the surface area of the head and neck relative to the surface area of the limbs is typically larger in children than adults.

## What is the palmar method?

Palmar method uses the size of the patients hand (palm and fingers) to estimate burn size. Remember to always use the patients hand, not the clinicians. In the prehospital and emergency department setting, the %TBSA burns is more important than the depth of burn.

What is the Palmer Method burns?

The Palmer Method of estimating total body surface area (TBSA) is an easy way to get a rough burn size estimate that can be used when calculating a patient’s fluid resuscitation needs. The patient’s palmer surface including their fingers = 1% TBSA.

### How does Tbsa calculate burn?

To calculate the %TBSA (quotient), it is necessary to divide the burned surface area (Burned BSA) (numerator in cm2) by the total body surface area (Total BSA) (denominator in cm2). By using everyday objects (eg.

Why are superficial partial thickness burns more painful?

Superficial dermal burns are initially the most painful. Even the slightest change in the air currents moving past the exposed superficial dermis causes a patient to experience excruciating pain. Without the protective covering of the epidermis, nerve endings are sensitized and exposed to stimulation.

## What is burn depth?

Burn depth is classified into one of three types based on how deeply into the epidermis or dermis the injury might extend. Superficial burns (First Degree) involve only the epidermis and are warm, painful, red, soft and blanch when touched. Usually, there is no blistering. A typical example is a sunburn.

What is TBSA burned?

The Palmer Method of estimating total body surface area (TBSA) is an easy way to get a rough burn size estimate that can be used when calculating a patients fluid resuscitation needs. Courtesy of the American Burn Association.

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