Palm Method:
(1 palm ≈ 1% of body surface area)
From: | To: |
The Body Surface Percentage (%BSA) is a medical measurement that estimates the percentage of a person's total skin surface area that is affected by burns, wounds, or other conditions. It's commonly used in burn assessment.
The calculator uses the palm method:
Where:
Explanation: The palm of the patient's hand (including fingers) represents approximately 1% of their total body surface area.
Details: Accurate BSA estimation is crucial for determining burn severity, guiding fluid resuscitation, and assessing prognosis in burn patients.
Tips: Count the number of palm-sized areas affected (can use fractions like 0.5 for half-palm). Add any additional percentage that may not be palm-sized.
Q1: How accurate is the palm method?
A: It's a quick estimation method. For precise measurements, the Lund-Browder chart (accounting for age) or Rule of Nines is preferred.
Q2: What's considered a major burn?
A: Typically >10% BSA in children or elderly, >15% in adults, or any burn involving face, hands, feet, or genitals.
Q3: Does this work for children?
A: The palm method is reasonably accurate for all ages since it scales with body size, but Lund-Browder is better for precise pediatric measurements.
Q4: What about very small burns?
A: For burns smaller than a palm, estimate fractions (e.g., 0.25 for quarter-palm) or use the patient's entire palm as 1% reference.
Q5: When should I use Rule of Nines instead?
A: Rule of Nines is better for quick initial assessment of large burns, while palm method is better for smaller or irregular burns.