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What is the rule of 9 burns?

Published in Burn Assessment 2 mins read

The rule of nines is a quick and easy method used by medical professionals to estimate the percentage of body surface area affected by burns. This method divides the body into sections, each representing a specific percentage of the total body surface area.

The rule of nines assigns the following percentages to different body areas:

  • Head and neck: 9%
  • Each arm (front and back): 9%
  • Each leg (front and back): 18% (9% for the front and 9% for the back)
  • Torso (front): 18%
  • Torso (back): 18%
  • Genitals: 1%

This method is helpful for quickly assessing the severity of a burn injury and determining the appropriate treatment plan. It is used to estimate the amount of fluid needed for resuscitation and to gauge the extent of the burn.

Example: If a person has burns on their head, both arms, and the front of their torso, the total body surface area affected would be 45%. (9% head + 9% arm + 9% arm + 18% torso = 45%).

Note: The rule of nines is a simplified method and may not be perfectly accurate, especially in children and people with different body proportions.

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