Treatment FAQ

what is the importance of the "rule of nines" in treatment of burn patients?

by Wilmer Haley Published 3 years ago Updated 2 years ago

Why Is the Rule of Nines Helpful? The rule of nines gives an idea of how much of your total body's surface area a burn takes up. This informs treatments based on the size and intensity of the burn injury. Emergency medical responders are some of the medical workers who use the rule of nines most.Nov 27, 2021

How do doctors use the rule of nines to diagnose Burns?

Why Is the Rule of Nines Helpful? The rule of nines gives an idea of how much of your total body's surface area a burn takes up. This informs treatments based on …

What is the rule of nines in medical terms?

May 06, 2022 · For Burn and Reconstructive Centers of America (BRCA), burn centers across our care system, emergency services personnel and many other facilities, the rule of nines is the foundation of emergency and pre-burn center care. The rule of nines is a method used to estimate Total Body Surface Area (TBSA), or the percentage of the body surface burned. Healthcare …

When should a burn center treat a burn wound?

Jul 09, 2021 · The Rule of Nines, also known as the Wallace Rule of Nines, is a tool used by trauma and emergency medicine providers to assess the total body surface area (TBSA) involved in burn patients. Measurement of the initial burn surface area is important in estimating fluid resuscitation requirements since patients with severe burns will have massive fluid losses due …

How accurate is the rule of nines for obese and pediatric patients?

Jul 09, 2021 · The Rule of Nines, also known as the Wallace Rule of Nines, is a tool used by trauma and emergency medicine providers to assess the total body surface area (TBSA) involved in burn patients. Measurement of the initial burn surface area is important in estimating fluid resuscitation requirements since patients with severe burns will have massive fluid losses due …

What is the rule of nines how important it is to the medical profession?

The rule of nines is meant to be used for: second-degree burns, also known as partial-thickness burns. third-degree burns, known as full-thickness burns.
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What is the rule of nines?
Body partPercentage
Arm (including the hand)9 percent each
Anterior trunk (front of the body)18 percent
Genitalia1 percent
3 more rows

What is meant by the rule of nines?

A formula for estimating percentage of body surface areas, particularly helpful in judging the portion of skin that has been burned. For the adult, the head represents 9%; each upper extremity 9%; the back of the trunk 18%, and the front 18%; each lower extremity 18%; and the perineum the remaining 1%.

What is the rule of 9's burn chart?

For adults, a “Rule of Nines” chart is widely used to determine the percentage of total body surface area (TBSA) that has been burnt (10,15,16). The chart divides the body into sections that represent 9 percent of the body surface area. It is inaccurate for children, and should be used in adults only.Jan 3, 2017

How will you manage and treat a burn patient?

Lifestyle and home remedies
  1. Cool the burn. Hold the burned area under cool (not cold) running water or apply a cool, wet compress until the pain eases. ...
  2. Remove rings or other tight items. ...
  3. Don't break blisters. ...
  4. Apply lotion. ...
  5. Bandage the burn. ...
  6. Take a pain reliever. ...
  7. Consider a tetanus shot.
Jul 28, 2020

What is the rule of nines?

Alterations to the Rule of Nines may be made based on body mass index (BMI) and age. The Rule of Nines has been shown to be the most frequently recited algorithm by physicians and nurses for estimating burn surface area in numerous studies.

What is the Wallace Rule of Nines?

The Rule of Nines, also known as the Wallace Rule of Nines, is a tool used by trauma and emergency medicine providers to assess the total body surface area (TBSA) involved in burn patients. Measurement of the initial burn surface area is important in estimating fluid resuscitation requirements since ….

What is the rule of nines?

The rule of nines is a method doctors and emergency medical providers use to easily calculate the treatment needs for a person who’s been burned. It’s sometimes referred to as the Wallace rule of nines after Dr. Alexander Wallace, the surgeon who first published the method. The creation of this method is credited to Pulaski and Tennison.

How is the rule of nine used?

This includes the amount of fluid replacement and degree of care a person needs. When a person experiences a second-degree burn or worse, the protective layer of skin is destroyed.

Who invented the rule of nines?

It’s sometimes referred to as the Wallace rule of nines after Dr. Alexander Wallace, the surgeon who first published the method. The creation of this method is credited to Pulaski and Tennison. A medical professional will do a visual examination to look for seriously burned areas and use the rule of nines to quickly add up what percentage ...

What percentage of the body surface area burns require IV fluids?

According to the National Institutes of Health, burns that are greater than 20 to 25 percent of total body surface area require significant intravenous (IV) fluids. Doctors will also use the estimated body surface area burned to determine how much fluid to administer.

What percentage of burns are fatal?

The rule of nines can also relay to a medical team receiving the patient how serious the injury is. Providers also know that burns that exceed 30 percent of a person’s body can be potentially fatal, according to the National Institutes of Health.

When should a burn center treat a wound?

Other circumstances where a burn center should treat the wounds include: when the person is a child. when the burned areas involve key areas of the body, such as the hands, feet, genitalia, face, or major joints. chemical burns. electrical burns. the presence of third-degree burns.

How many IVs do you need to use the rule of nines?

Another example of how a provider may use the rule of nines is to determine how much IV access is needed. If a person has 15 percent or more of their total body surface area burned, they’ll need at least one peripheral line to provide IV fluids. If a person’s body is burned 40 percent or more, they’ll need at least two IVs.

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