Temperature and Duration of contact determine the depth and severity of a burn.
44 °C (111 °F) is often cited as the minimum temperature at which burns can begin to occur if the skin is exposed long enough.
Estimation Of Burns
Sir A. B. Wallace, a British surgeon, in 1951 as a simple bedside tool to rapidly estimate burn surface area in adults
Alexander Burns Wallace
Rule Of 9
The Rule of 9 became widely adopted in burn units and emergency medicine because it balanced speed with reasonable accuracy
Wallace Rule Of 9 For Adults
Lund And Browder For Children
The chart was introduced by Charles Lund and Newton Browder, two American plastic surgeons.
They published it in the Annals of Surgery (1944) in their paper “The estimation of areas of burns”.
Their work was based on studying body surface area proportions across different ages.
Death In Burns And Body Surface Area
A 40-year-old with 60% burns → score 100 → ~100% mortality (classic teaching)


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