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How to calculate burn area?

The general method is: using the percent of burn surface area.

In the total 100% body surface area,
  • head and neck occupy 9%(head, face and neck occupies 3% separately);
  • both upper extremities occupy 18%(both upper arms occupy 7%, both forearms occupy 6%, both hands 5%);
  • body including perineum occupy 27% (fore body occupies 13%, back body occupies 13% and perineum 1%);
  • both lower extremities (including buttocks) occupy 46% (both buttocks 5%, both thighs 21%, both legs 13%, both feet 7%)(for female, both feet and buttocks occupy 6%).

There is one more simple method: the area of the patient’s palm occupies 1% of body surface area.

  • In clinic, the second degree burn with TBSA=10% or below for adults is called mild burn;
  • 11-30% or third degree burn with TBSA=10% or below is called moderate burn;
  • 31-50% or third degree burn with TBSA=11-20% is called severe burn.

For patients mentioned above, if accompanied with shock, midrange inhalation damage or other injury, the severity increases one grade.

If the TBSA is larger than 50% or third degree burn with TBSA larger than 20%, it’s called extraordinary severe burn.

Table 1 Judgment of the burn area

Burn Position Occupuy the adult
body surface %
Occpupy children
body surface %
Head and neck Hair part 3 9 9+(12-age)
Face 3
Neck 3
Both upper
Extremities
Botth upper arms    7   9 x 2 9 x 2
Both fore arms 6
Both hands 5
Body Fore body 13 9 x 3 9 x 3
Back body 13
Perinaeum 1
Both lower
extremities
Both buttocks 5* 9x5+1 9x5+1- (12-age)
Both thighs 21
Both legs 13
Both feet 7*

*For adult female, the buttocks and both feet occupy 6% separately.
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