Burn Percentage Calculator
Estimate total body surface area burned using the Rule of Nines and Lund-Browder chart. Enter values for instant results with step-by-step formulas.
Formula
TBSA (%) = Sum of burned regions | Parkland: Fluid (mL) = 4 x Weight (kg) x %TBSA
The Rule of Nines assigns percentage values to body regions: head 9%, each arm 9%, anterior/posterior trunk 18% each, each leg 18%, perineum 1%. The Parkland formula calculates the total lactated Ringer solution needed in the first 24 hours after a burn, with half given in the first 8 hours.
Worked Examples
Example 1: Moderate Burn — Kitchen Scald Injury
Problem: A 70 kg adult sustains burns to the entire anterior chest (9%) and left arm (9%), totaling 18% TBSA. Calculate fluid requirements using the Parkland formula.
Solution: TBSA = 9% (chest) + 9% (left arm) = 18%\nParkland: 4 mL x 70 kg x 18% = 5,040 mL in 24 hours\nFirst 8 hours: 5,040 / 2 = 2,520 mL (315 mL/hr)\nNext 16 hours: 5,040 / 2 = 2,520 mL (157.5 mL/hr)
Result: TBSA: 18% (Moderate Burn) | Parkland: 5,040 mL/24hr | First 8hr rate: 315 mL/hr
Example 2: Severe Burn — Industrial Accident
Problem: An 80 kg worker sustains burns to both legs (36%), abdomen (9%), and both arms (18%), totaling 63% TBSA. Calculate resuscitation needs.
Solution: TBSA = 36% (legs) + 9% (abdomen) + 18% (arms) = 63%\nParkland: 4 mL x 80 kg x 63% = 20,160 mL in 24 hours\nFirst 8 hours: 10,080 mL (1,260 mL/hr)\nNext 16 hours: 10,080 mL (630 mL/hr)
Result: TBSA: 63% (Life-Threatening) | Parkland: 20,160 mL/24hr | Immediate burn center transfer
Frequently Asked Questions
What is the Rule of Nines and how is it used for burn assessment?
The Rule of Nines is a rapid clinical method used by emergency medical personnel to estimate the total body surface area (TBSA) affected by burns in adult patients. It divides the body into anatomical regions, each representing approximately 9 percent or a multiple of 9 percent of the total body surface. The head and neck account for 9 percent, each upper extremity is 9 percent, the anterior trunk is 18 percent (divided into chest and abdomen at 9 percent each), the posterior trunk is 18 percent, each lower extremity is 18 percent, and the perineum is 1 percent. This rapid assessment guides initial fluid resuscitation decisions and triage priorities.
How does the Parkland formula calculate fluid resuscitation for burn patients?
The Parkland formula, also known as the Baxter formula, is the most widely used method for calculating intravenous fluid requirements during the first 24 hours after a significant burn injury. The formula is 4 milliliters of lactated Ringer solution multiplied by the patient weight in kilograms multiplied by the percent TBSA burned. Half of the calculated total volume is administered during the first 8 hours from the time of injury, and the remaining half is given over the subsequent 16 hours. For example, a 70 kg patient with 30 percent TBSA burns requires 4 x 70 x 30 = 8,400 mL total, with 4,200 mL in the first 8 hours and 4,200 mL over the next 16 hours.
What are the differences between burn depth classifications?
Burns are classified by depth into several categories. Superficial (first-degree) burns affect only the epidermis, causing redness and pain without blistering, similar to a mild sunburn. Partial-thickness (second-degree) burns extend into the dermis and are further divided into superficial partial-thickness (blistering, moist, painful) and deep partial-thickness (white or mottled, decreased sensation). Full-thickness (third-degree) burns destroy the entire dermis, appearing white, leathery, or charred with no sensation in the burned area. Fourth-degree burns extend beyond skin into underlying fat, muscle, or bone. Depth classification affects treatment decisions, healing time estimates, and surgical planning for grafting.
When should a burn patient be transferred to a specialized burn center?
The American Burn Association has established specific criteria for burn center referral. These include partial-thickness burns greater than 10 percent TBSA, burns involving the face, hands, feet, genitalia, perineum, or major joints, any full-thickness burns, electrical or chemical burns, inhalation injuries, burns in patients with significant preexisting medical conditions, burns with associated trauma where the burn poses the greatest risk, and burns in children requiring specialized pediatric care. Circumferential burns of the extremities or chest also warrant immediate referral due to the risk of compartment syndrome and restricted breathing respectively. Early transfer significantly improves survival outcomes.
How do I get the most accurate result?
Enter values as precisely as possible using the correct units for each field. Check that you have selected the right unit (e.g. kilograms vs pounds, meters vs feet) before calculating. Rounding inputs early can reduce output precision.
Can I use the results for professional or academic purposes?
You may use the results for reference and educational purposes. For professional reports, academic papers, or critical decisions, we recommend verifying outputs against peer-reviewed sources or consulting a qualified expert in the relevant field.