The Lund and Browder chart is a tool useful in the management of
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 mainl ...
s for estimating the
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. ...
affected. It was created by Dr. Charles Lund, Senior Surgeon at
Boston City Hospital
The Boston City Hospital (1864–1996), in Boston, Massachusetts, was a public hospital, located in the South End. It was "intended for the use and comfort of poor patients, to whom medical care will be provided at the expense of the city, and . ...
, and Dr. Newton Browder, based on their experiences in treating over 300 burn victims injured at the
Cocoanut Grove fire
The Cocoanut Grove fire was a nightclub fire which took place in Boston, Massachusetts, United States, on November 28, 1942, and resulted in the deaths of 492 people. It is the deadliest nightclub fire in U.S. history, and the second-deadliest ...
in Boston in 1942.
Unlike the
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 estimat ...
, 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
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