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Intermediate Technical IVT

Rule of Nines

Method for estimating burn surface area by dividing the body into regions representing 9% of total body surface.

Full Definition

The Rule of Nines is a quick assessment tool used to estimate the percentage of total body surface area affected by burns. It divides the adult body into anatomical regions, each representing approximately 9% or multiples of 9% of the total body surface area. The head and neck represent 9%, each arm 9%, the anterior trunk 18%, posterior trunk 18%, each leg 18%, and the perineum 1%. This method is less accurate for children and infants, where the Lund and Browder chart is preferred.

Usage

Usage note: Capitalize 'Rule of Nines' when referring to the specific assessment method.

In Context

  • "Using the Rule of Nines, the emergency physician estimated 18% TBSA involvement." — Emergency department note
  • "The Rule of Nines provides a rapid assessment tool for initial triage decisions." — Training manual

Also known as

Wallace Rule of Nines

Don't confuse with

Lund and Browder chart palm method

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