Lund and Browder chart

Lund and Browder Chart is a tool used in the medical field, specifically in the treatment of burns, to estimate the total body surface area (TBSA) affected by a burn. Unlike the Rule of Nines, which is another method used for estimating burn size, the Lund and Browder Chart is considered more accurate, especially for pediatric patients, as it takes into account the changes in body surface area with age and growth.

History

The Lund and Browder Chart was developed by Dr. Curtis P. Lund and Dr. Newton Browder in 1944, based on their experiences treating burn victims during the Second World War. Their work recognized the need for a more precise method of estimating burn size to improve fluid resuscitation and treatment outcomes.

Description

The chart divides the human body into multiple sections, with each section assigned a percentage of total body surface area. These percentages are adjusted for patients of different ages, acknowledging the proportional differences in body part sizes between adults and children. For example, the head represents a larger proportion of the surface area in infants than in adults, while the limbs account for more surface area in adults.

Application

To use the Lund and Browder Chart, a medical professional will assess the burn victim and mark the areas of partial and full thickness burns on the chart. The sum of these areas gives an estimate of the total body surface area affected by the burn. This information is crucial for determining the fluid resuscitation needs of the patient, as well as for planning further treatment and care.

Advantages

The main advantage of the Lund and Browder Chart over other methods is its accuracy across different age groups. This is particularly important in pediatric burn care, where fluid management is critical and must be precisely calculated to avoid complications.

Limitations

While the Lund and Browder Chart is a valuable tool in burn assessment, it requires a detailed examination of the patient and can be time-consuming. Additionally, its accuracy is dependent on the skill and experience of the healthcare provider in assessing and categorizing burn areas.

Conclusion

The Lund and Browder Chart remains a cornerstone in the assessment and management of burn injuries. Its detailed approach to estimating the size of a burn provides a critical foundation for effective treatment planning and has significantly contributed to advancements in burn care.