Rule of Nines for burn patients.
(My notes to help you to understand this in simpler terms…Basically, where ever the patient is burned, each part of the body is a certain percentage (%). You assess where the patient is burned and calculate the total percentage of the area of the body burned and add it up. [adults])
-The rule of nines assesses the percentage of burn and is used to help guide treatment decisions including fluid resuscitation and becomes part of the guidelines to determine transfer to a burn unit.
You can estimate the body surface area on an adult that has been burned by using multiples of 9.
An adult who has been burned, the percent of the body involved can be calculated as follows:
- Head = 9%
- Chest (front) = 9%
- Abdomen (front) = 9%
- Upper/mid/low back and buttocks = 18%
- Each arm = 9% (front = 4.5%, back = 4.5%)
- Groin = 1%
- Each leg = 18% total (front = 9%, back = 9%)
As an example, if both legs (18% x 2 = 36%), the groin (1%) and the front chest and abdomen were burned, this would involve 55% of the body.