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What is the rule of nines for TBSA burns?

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Final answer:

The rule of nines is a medical tool used to estimate the percentage of the body affected by burns by dividing it into areas representing multiples of 9%. This system helps guide treatment decisions and is complemented by classifying burns by their degree of severity, ranging from first to fourth degree.

Step-by-step explanation:

Rule of Nines for Total Body Surface Area (TBSA) Burns

The rule of nines is an assessment tool used in medicine to estimate the total body surface area (TBSA) affected by burns. This method divides the body into regions that represent 9% or multiples of 9% of the body surface area. The rule is useful for guiding decisions regarding the need for specialized burn treatment. Adult body regions typically associated with specific percentages include the head and neck (9%), each arm (9% each), the front of the torso (18%), the back of the torso including the buttocks (18%), each leg (18% each), and the genital area (1%).

Burns are also classified by severity from first to fourth degree. A first-degree burn is superficial, a second-degree burn causes blisters due to damage both to the epidermis and the dermis, a third-degree burn destroys both skin layers and affects sensory function, and a fourth-degree burn involves muscle and bone and usually requires surgical intervention like grafting. Assessing burn severity and extent accurately is vital for administering the proper level of medical care.

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