Burn Rehabilitation
Secondary to external agents (heat, cold, chemicals, electricity, and radiation)
#1 cause of accidental deaths in children under 2 years1
Leads to hypermetabolic state
DEPTH/DEGREE
Superficial thickness (first degree): epidermis only
red and painful, heals spontaneously in 3 to 7 days
Partial thickness (second degree): 7 to 21 days to heal
superficial: epidermis with blistering; basal layer remains intact
deep: dermis involved with blistering
Full thickness (third degree): full epidermis and dermis involvement, with possible fat, muscle, or bone affected
eschar forms and requires debridement with grafting
RULE OF 9’S
Adult TBSA (%) | Infant TBSA (%) | |
Head | 9 | 18 |
Each upper extremity | 9 | 9 |
Each lower extremity | 18 | 14 |
Anterior trunk | 18 | 18 |
Posterior trunk | 18 | 18 |
Perineum | 1 | — |
Figure 15-1 Diagram of the rule of 9’s
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