Abstract
Use of patient's hand to estimate percentage body surface area (BSA) of injury is well established in management of burns. Exactly what constitutes the palm of hand' and how large an area this is, depends on whether you follow Advanced Trauma Life Support teaching. United Kingdom teaching, or use a Lund and Browder chart'. A study was designed to measure areas in question to find which was most accurate. The conclusions challenge standard teaching and show a sex difference. The area of palm alone is 0.5 per cent BSA in males and 0.4 per cent BSA in females, whereas area of palm plus palmar surface of five digits is 0.8 per cent BSA in males and 0.7 per cent BSA in females. Therefore if a hand alone is used to assess size of a burn per cent BSA could be overestimated.
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