Abstract
For assessing the area of small or irregular burns a projection of the patient's whole hand is used as an approximation to 1% of the total body surface area.1 In the advanced trauma life support course manual,2 however, the palm (not including the fingers) has been quoted as representing 1%. This study was undertaken to determine which method is the better approximation. Twenty adults from the medical school and 10 children from the hospital took part in this project. Their heights (cm) and weights (kg) were recorded on calibrated equipment and their total body surface area was calculated by the method of Gehan and George.3 The projections of each subject's palm and whole hand were delineated using their non-dominant hand. The area of …
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