Lund-Browder chart
A body surface area assessment tool that accounts for age-related changes in body proportions to accurately calculate burn size.
Full Definition
The Lund-Browder chart is the gold standard for calculating total body surface area (TBSA) burned, particularly in pediatric patients where body proportions differ significantly from adults. Unlike the rule of nines, this chart adjusts for the relatively larger head size and smaller leg proportion in children, providing more accurate measurements critical for fluid resuscitation calculations. The chart includes age-specific modifications for head, neck, and lower extremity percentages. It remains the preferred method in burn centers for formal documentation and treatment planning.
Usage
Usage note: More accurate than rule of nines, especially for pediatric patients; standard in burn centers.
In Context
- "The resident was reminded to use the Lund-Browder chart rather than the rule of nines for the 3-year-old patient." — medical education
- "Documentation must include the Lund-Browder calculation for all burns exceeding 10% TBSA." — hospital policy