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Burns
Published in Dorian Hobday, Ted Welman, Maxim D. Horwitz, Gurjinderpal Singh Pahal, Plastic Surgery for Trauma, 2022
Dorian Hobday, Ted Welman, Maxim D. Horwitz, Gurjinderpal Singh Pahal
The Lund and Browder chart (Figure 9.2) is also widely used and again accounts for how age affects body proportions so is particularly useful for paediatric burns. The % TBSA is calculated for each separate area taking into account the variation with age in the head, the upper leg and the lower leg (A, B and C).
Surgical Emergencies
Published in Anthony FT Brown, Michael D Cadogan, Emergency Medicine, 2020
Anthony FT Brown, Michael D Cadogan
Determine the extent of the burn. Use Wallace's Rule of Nines in adults, ignoring areas of mere erythema (see Fig. 5.2).Use comparison with the size of the child's palm, equal to 1% of body surface area (BSA), when estimating the extent of a burn in children. A child's head is relatively larger than an adult's (12–14%) and the legs are relatively smaller (14%).Or use a body map such as a Lund and Browder chart.
Burns
Published in Kenneth D Boffard, Manual of Definitive Surgical Trauma Care: Incorporating Definitive Anaesthetic Trauma Care, 2019
All units involved in the management of burns should have a clearly established protocol, and this should include the use of a burns resuscitation chart that also shows TBSA affected, in diagrammatic form (traditionally the ‘rule of nines’ in the adult, and the Lund and Browder chart in the child; Figure 13.7). The patient's palm, including the fingers, represents approximately 1% TBSA and is useful when calculating patchy burns.
Prevalence and management of vitamin D deficiency in children with newly diagnosed coeliac disease: cohort study
Published in Paediatrics and International Child Health, 2021
Akhshayaa G, Anju Seth, Praveen Kumar, Anju Jain
Informed, written consent was given by the children’s parent/guardian and from adolescents themselves. The study subjects and controls were evaluated by means of a pre-structured proforma. The demographic parameters (age, sex, religion, socio-economic status) were recorded. The mean daily dietary calcium intake was calculated by 24-hour recall. The degree of sun exposure was measured by calculating the mean 3-day ultraviolet (UV) score, taking into account the total body surface area exposed to the sun (Lund and Browder chart) [8] and the average time spent outdoors per day (in minutes) during the period of direct sunlight (9.00 a.m. to 3.00 p.m.). The UV score was obtained by multiplying these two variables (min/m2/day). The enrolled subjects were clinically evaluated for features of rickets. The anthropometric results were recorded and interpreted using WHO reference standards [9] for children <5 years and the Indian reference standards [10] for those >5 years of age.