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Wallace Rule Of Nines
The Wallace rule of nines is a tool used in pre-hospital and emergency medicine to estimate the total body surface area (BSA) affected by a burn. In addition to determining burn severity, the measurement of burn surface area is important for estimating patients' fluid requirements and determining hospital admission criteria. The rule of nines was devised by Pulaski and Tennison in 1947, and published by Alexander Burns Wallace in 1951. To estimate the body surface area of a burn, the rule of nines assigns BSA values to each major body part: This allows the emergency medical provider to obtain a quick estimate of how much body surface area is burned. For example, if a patient's entire back (18%) and entire left leg (18%) are burned, about 36% of the patient's BSA is affected. The BSAs assigned to each body part refer to the entire body part. So, for example, if half of a patient's left leg were burned, it would be assigned a BSA value of 9% (half the total surface area of the leg) ...
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Total Body Surface Area
Total body surface area (TBSA) is an assessment of injury to or disease of the skin, such as burns or psoriasis. In adults, the Wallace rule of nines can be used to determine the total percentage of area burned for each major section of the body. In burn cases that involve partial body areas, or when dermatologists are evaluating the Psoriasis Area and Severity Index (PASI) score, the patient's palm can serve a reference point roughly equivalent to 1% of the body surface area. For children and infants, the Lund and Browder chart is used to assess the burned body surface area. Different percentages are used because the ratio In mathematics, a ratio shows how many times one number contains another. For example, if there are eight oranges and six lemons in a bowl of fruit, then the ratio of oranges to lemons is eight to six (that is, 8:6, which is equivalent to the ... of the combined surface area of the head and neck to the surface area of the limbs is typically larger in c ...
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Burn
A burn is an injury to skin, or other tissues, caused by heat, cold, electricity, chemicals, friction, or ultraviolet radiation (like sunburn). Most burns are due to heat from hot liquids (called scalding), solids, or fire. Burns occur mainly in the home or the workplace. In the home, risks are associated with domestic kitchens, including stoves, flames, and hot liquids. In the workplace, risks are associated with fire and chemical and electric burns. Alcoholism and smoking are other risk factors. Burns can also occur as a result of self-harm or violence between people (assault). Burns that affect only the superficial skin layers are known as superficial or first-degree burns. They appear red without blisters and pain typically lasts around three days. When the injury extends into some of the underlying skin layer, it is a partial-thickness or second-degree burn. Blisters are frequently present and they are often very painful. Healing can require up to eight weeks and scarri ...
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Alexander Burns Wallace
Alexander Burns Wallace (1906–1974) was a Scottish plastic surgeon. He was a founding member and president (1951) of the British Association of Plastic Surgeons, and the first editor of the ''British Journal of Plastic Surgery''. In authorship he appears as A. B. Wallace. Life He was born in Edinburgh in 1906, the son of Alexander Wallace and his wife, Christina Bishop. Wallace was educated at George Heriot's School and then studied Medicine at Edinburgh University, graduating with his MB ChB in 1929. He became a Fellow of the Royal College of Surgeons of Edinburgh in 1932. Following that, he went to McGill University completing a MSc degree in lymphatics research in 1936. During World War II he served as plastic surgeon at the Scottish Emergency Medical Hospital at what became Bangour General Hospital in West Lothian. After the war he became lead surgeon in the burns and plastic surgery unit at Bangour General Hospital. In addition he had paediatric beds at the Royal Hospi ...
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Wallace Rule Of Nines-en
Wallace may refer to: People * Clan Wallace in Scotland * Wallace (given name) * Wallace (surname) * Wallace (footballer, born 1986), full name Wallace Fernando Pereira, Brazilian football left-back * Wallace (footballer, born 1987), full name Wallace Reis da Silva, Brazilian football centre-back * Wallace (footballer, born May 1994), full name Wallace Oliveira dos Santos, Brazilian football full-back * Wallace (footballer, born October 1994), full name Wallace Fortuna dos Santos, Brazilian football centre-back * Wallace (footballer, born 1998), full name Wallace Menezes dos Santos, Brazilian football midfielder Fictional characters * Wallace, from ''Wallace and Gromit'' * Wallace (''Pokémon'') * Wallace (''Sin City'') * Wallace (''The Wire'') * Wallace Breen, from ''Half-Life 2'' * Wallace Fennel, from ''Veronica Mars'' * Wallace Footrot, from ''Footrot Flats'' * Eli Wallace, from ''Stargate Universe'' * Wallace, from "The Hangover Part III" * Wallace the Brave, from the co ...
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Obese
Obesity is a medical condition, sometimes considered a disease, in which excess body fat has accumulated to such an extent that it may negatively affect health. People are classified as obese when their body mass index (BMI)—a person's weight divided by the square of the person's height—is over ; the range is defined as overweight. Some East Asian countries use lower values to calculate obesity. Obesity is a major cause of disability and is correlated with various diseases and conditions, particularly cardiovascular diseases, type 2 diabetes, obstructive sleep apnea, certain types of cancer, and osteoarthritis. Obesity has individual, socioeconomic, and environmental causes. Some known causes are diet, physical activity, automation, urbanization, genetic susceptibility, medications, mental disorders, economic policies, endocrine disorders, and exposure to endocrine-disrupting chemicals. While a majority of obese individuals at any given time are attempting to lo ...
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Baux Score
The Baux score is a system used to predict the chance of mortality due to burns. The score is an index which takes into account the correlative and causal relationship between mortality and factors including advancing age, burn size, the presence of inhalational injury. Studies have shown that the Baux score is highly correlative with length of stay in hospital due to burns and final outcome. Methods Original method The original Baux score was the addition of two factors, the first being the total body surface area affected by burning (usually estimated using the Wallace rule of nines, or calculated using a Lund and Browder chart) and the second being the age of the patient. The score is expressed as: :\text = \text + \text The score is a comparative indicator of burn severity, with a score over 140 considered as being unsurvivable, depending on the available treatment resources. Modified method Research demonstrated that with improvements in medical care rendered the original ...
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Lund And Browder Chart
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. Newton Browder, based on their experiences in treating over 300 burn victims injured at the Cocoanut Grove fire in Boston in 1942. Unlike the Wallace rule of nines, the Lund and Browder chart takes into consideration of age of the person, with decreasing percentage BSA for the head and increasing percentage BSA for the legs as the child ages, making it more useful in pediatric burns. See also * Baux score The Baux score is a system used to predict the chance of mortality due to burns. The score is an index which takes into account the correlative and causal relationship between mortality and factors including advancing age, burn size, the presence ... References Skin conditions resulting from physical factors Medical emergencies Injuries {{Treatment-stub ...
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Professional Medical Film
The Professional Medical Film (PMF) series was a series of technical motion pictures produced by the U.S. Army from the mid-1940s through the late 1960s. The series covered psychiatric, surgical, and tropical medicine, radiation health effects, and other health topics in an American military medicine context. The intended audience was professional, active duty health care providers. List of films {{incomplete list, date=August 2015 *PMF 5000 (1947) - ''Preparation and Staining of Blood Slides'', demonstration of laboratory equipment; preparation of stains; preparation of thick films for diagnosis of malaria (18 min; color). *PMF 5001 (1947) - ''Colostomy Closure (End-to-End Anastomosis)'', surgical repair of left upper abdominal colostomy (13 min). *PMF 5002 (1947) - ''Abdominal Colostomy Closure — Pauchet Method'', case of well-functioning colostomy of double loop type located on left side in sigmoid colon; method used to accomplish closure; precautions (9 min; color). *PMF 5003 ...
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Skin Conditions Resulting From Physical Factors
Skin is the layer of usually soft, flexible outer tissue covering the body of a vertebrate animal, with three main functions: protection, regulation, and sensation. Other animal coverings, such as the arthropod exoskeleton, have different developmental origin, structure and chemical composition. The adjective cutaneous means "of the skin" (from Latin ''cutis'' 'skin'). In mammals, the skin is an organ of the integumentary system made up of multiple layers of ectodermal tissue and guards the underlying muscles, bones, ligaments, and internal organs. Skin of a different nature exists in amphibians, reptiles, and birds. Skin (including cutaneous and subcutaneous tissues) plays crucial roles in formation, structure, and function of extraskeletal apparatus such as horns of bovids (e.g., cattle) and rhinos, cervids' antlers, giraffids' ossicones, armadillos' osteoderm, and os penis/os clitoris. All mammals have some hair on their skin, even marine mammals like whales, dolphins, a ...
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Medical Emergencies
A medical emergency is an acute injury or illness that poses an immediate risk to a person's life or long-term health, sometimes referred to as a situation risking "life or limb". These emergencies may require assistance from another, qualified person, as some of these emergencies, such as cardiovascular (heart), respiratory, and gastrointestinal cannot be dealt with by the victim themselves.AAOS 10th Edition Orange Book Dependent on the severity of the emergency, and the quality of any treatment given, it may require the involvement of multiple levels of care, from first aiders through emergency medical technicians, paramedics, emergency physicians and anesthesiologists. Any response to an emergency medical situation will depend strongly on the situation, the patient involved, and availability of resources to help them. It will also vary depending on whether the emergency occurs whilst in hospital under medical care, or outside medical care (for instance, in the street or alone ...
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