Lund-Browder Chart — TBSA Burn Estimation
Age-adjusted body-surface chart for estimating second- and third-degree burn TBSA. More accurate than Rule of Nines, particularly in children where the head accounts for a disproportionately large surface area. Use the resulting TBSA% with the Parkland formula for fluid resuscitation.
Score interpretation
→ Local wound care; analgesia (paracetamol ± oral morphine); tetanus cover; outpatient burn clinic if special area (face, hands, perineum, joints) or full-thickness.
→ IV fluids per Parkland; refer to regional burns unit; analgesia titration; assess for inhalation injury; admit.
→ Resus per Parkland (4 mL/kg/%TBSA Hartmann's, 50% in first 8 h from time of burn); urgent burns centre transfer; protect airway (early intubation if facial/inhalational); urinary catheter target 0.5 mL/kg/h adult or 1 mL/kg/h paeds; ITU referral; tetanus.
Interpretation bands for the Lund-Browder. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Melatonin · Melatonin Receptor Agonist
- Phytomenadione (Vitamin K1) · Vitamin K (clotting factor cofactor)
- Phytomenadione (Vitamin K1) · Vitamin K (Coagulation Factor Synthesis)
- Ibuprofen (Orthopaedic Musculoskeletal Pain) · NSAID — Non-selective COX Inhibitor
- Vitamin K (Phytomenadione) · Vitamin / Haemostatic
- Chloral Hydrate · Sedative (Procedural)
- Suspicious Pigmented Lesion — Melanoma Pathway · NICE NG14 2015 / BAD
- Cellulitis and Erysipelas · NICE NG141 2019 / CREST
- Psoriasis — Severity Assessment and Step-Up Therapy · NICE NG153 2019 / BAD
- Atopic Eczema — Assessment and Step-Up Therapy · NICE NG95 2023
- Urticaria and Angioedema · BSACI / EAACI Guidelines 2022
- Acne Vulgaris — Grading and Treatment · NICE NG198 2021 / BAD
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.