Lund and Browder chart

Chart used to determine the area affected by burn injuries

Lund and Browder chart
The Lund and Browder Chart was first published in 1944 and was based on experience treating victims of the 1942 Cocoanut Grove fire
Specialty	emergency medicine/dermatology
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The Lund and Browder chart is a tool useful in the management of burns for estimating the total body surface area affected. It was created by Dr. Charles Lund, Senior Surgeon at Boston City Hospital, and Dr. Newton Browder, based on their experiences in treating over 300 burn victims injured at the Cocoanut Grove fire in Boston in 1942.^[1]

Unlike the Wallace rule of nines, the Lund and Browder chart takes into consideration the age of the person,^[2] with decreasing percentage BSA for the head and increasing percentage BSA for the legs as the child ages, making it more useful in pediatric burns.

References

^ Lund CC, Browder NC (1944). "The estimation of areas of burns". Surg Gynecol Obstet. 79: 352–8.
^ Hettiaratchy, S. Papini, R (July 2004). "ABC of burns: Initial management of a major burn: II—assessment and resuscitation". BMJ. 329 (7457): 101–103. doi:10.1136/bmj.329.7457.101. PMC 449823. PMID 15242917.{{cite journal}}: CS1 maint: multiple names: authors list (link)

Trauma

Principles

Polytrauma
Major trauma
Traumatology
Triage
Resuscitation
Trauma triad of death

Assessment

Clinical prediction rules	Abbreviated Injury Scale Injury Severity Score NACA score Revised Trauma Score
Investigations	Diagnostic peritoneal lavage Focused assessment with sonography for trauma

Management

Principles	Advanced trauma life support Damage control surgery Early appropriate care Trauma center Trauma surgery Trauma team
Procedures	Resuscitative thoracotomy

Pathophysiology

Injury	MSK Bone fracture Degloving Joint dislocation Soft tissue injury Resp Diaphragmatic rupture Flail chest Hemothorax Pneumothorax Pulmonary contusion Cardio Cardiac tamponade Internal bleeding Thoracic aorta injury GI Blunt kidney trauma Splenic injury Neuro Intracranial hemorrhage Penetrating head injury Traumatic brain injury
Mechanism	Blast injury Blunt trauma Burn Crush injury Electrocution Gunshot wound Penetrating trauma Stab wound
Region	Abdominal trauma Chest injury Facial trauma Head injury Spinal cord injury
Demographic	Geriatric trauma Pediatric trauma

Complications

v t e General wounds and injuries
Abrasions	Abrasion Avulsion
Blisters	Blood blister Coma blister Delayed blister Edema blister Fracture blister Friction blister Sucking blister
Bruises	Hematoma/Ecchymosis Battle's sign Raccoon eyes Black eye Subungual hematoma Cullen's sign Grey Turner's sign Retroperitoneal hemorrhage
Biting	Animal Insect Spider Snake
Other:	Ballistic trauma Stab wound Splinter Blunt trauma/superficial/closed Penetrating trauma/open Aerosol burn Burn/Corrosion/Chemical burn Frostbite Occupational injuries Traumatic amputation
By region	Hand injury Head injury Chest trauma Abdominal trauma