ABSTRACT

The percentage burn is best calculated using the Wallace Rule of Nines:

• Head = 9 per cent • Arm = 9 per cent • Leg = 18 per cent • Trunk front = 18 per cent • Back = 18 per cent

Therefore, this patient has a percentage burn of 45 per cent. Using this percentage in the formula gives a volume of 1575 mL. The standard fluid replacement regimen over the 36 hours immediately following the burn injury is shown in Table 3.1.