Wallace rule of nines is used to estimate burn surface area in adults. A patient with burns involving the entire right upper limb, the anterior thorax, and the perineum: what is the total BSA% burned?

• A 27%
• B 29%
• C 30%
• D 28% ✓

Explanation

Using the Rule of Nines in adults: entire right upper limb = 9%, anterior thorax (anterior chest + anterior abdomen) = 9% + 9% = 18%, perineum = 1%. Total = 9 + 18 + 1 = 28%. Each upper limb is 9%, each lower limb 18%, anterior trunk 18%, posterior trunk 18%, head 9%, and perineum 1%. This calculation is important for fluid resuscitation using the Parkland formula.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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