Emergency MedicineIntermediate

Lund-Browder Pediatric & Adult Burn Surface Area Chart

Calculates age-adjusted %TBSA for 2nd/3rd degree burns and determines ABA Parkland resuscitation fluids.

Clinical Parameters

13 Variables

Awaiting Clinical Parameters

Configure the patient variables on the left and select Calculate Result to generate the clinical score and stratification.

Verified 2026 GuidelinesInstant Calculation
Jump to Formula & Clinical Protocol ↓
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Tested on Gulf Medical Boards (DHA, SMLE, MOH & HAAD)

Clinical calculations and diagnostic scoring systems like Lund-Browder Pediatric & Adult Burn Surface Area Chart frequently appear on Prometric exams. Master high-yield clinical vignettes with instant AI-powered pathophysiology rationales.

Clinical Significance & Diagnostic Standard
2026 Clinical Reference

What is the Lund-Browder Pediatric & Adult Burn Surface Area Chart?

📋Clinical Summary & Definition Capsule

The Lund-Browder Pediatric & Adult Burn Surface Area Chart is an evidence-based clinical decision rule engineered to quantify diagnostic probability, stratify clinical severity, and guide therapeutic decision-making in emergency medicine practice. Implements the Lund and Browder age-adjusted anatomical surface area chart to calculate total burn surface area (%TBSA) for infants, children, and adults, integrating the American Burn Association (ABA) Parkland resuscitation fluid formula. Clinical scoring tools like Lund-Browder Pediatric & Adult Burn Surface Area Chart are essential in acute and outpatient management, enabling clinicians to objectively differentiate between low-risk candidates suitable for conservative therapy and high-risk patients requiring urgent interventions. Verified against current 2026 clinical standards, this tool is extensively tested on Gulf health authority licensing exams including DHA (Dubai), SMLE (Saudi Arabia), MOH, HAAD/DOH (Abu Dhabi), OMSB (Oman), and QCHP (Qatar).

💡Clinical Pearls & Diagnostic Utility

The international standard for pediatric and adult burn size calculation, correcting the Wallace Rule of Nines for age-dependent head-to-body proportions.

Mathematical Formulation

Formula & Calculation Parameters

The mathematical equation and clinical variables required to calculate Lund-Browder Pediatric & Adult Burn Surface Area Chart:

Lund-Browder Chart: Age-adjusted regional surface area percentages
Parkland Fluid Formula = 2 mL (Adult) or 3–4 mL (Pediatric) × Weight (kg) × %TBSA
Infusion: 50% in first 8 hours (from time of injury) + 50% in following 16 hours
Risk Stratification

Score Interpretation & Clinical Stratification

Score RangeClinical InterpretationRisk Tier
≤ 9.9Minor Burn (< 10% TBSA / Outpatient or Regular Ward)green
10 – 19.9Moderate Burn (10–19% TBSA / Specialized Burn Center Evaluation)yellow
≥ 20Major Burn (≥ 20% TBSA / MANDATORY BURN ICU & PARKLAND RESUSCITATION)red
Clinical Limitations & Contraindications

When to Exercise Caution

Calculates 2nd (partial thickness) and 3rd degree (full thickness) burns only; simple superficial erythema (1st degree sunburn) is excluded from TBSA calculations.

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Medical Review & Guidelines Compliance
MD

Clinical Review Board

Dr. Muhammad Nouman, MBBS

Capital Medical University | PMDC Reg No: 117744-P

Clinical Audit Status

✓ Verified for 2026 Guidelines

Last updated: 2026-08-08

Peer-Reviewed Medical Literature

  • Lund CC, Browder NC. The estimation of areas of burns. Surg Gynecol Obstet. 1944;79:352-358.
  • American Burn Association. Advanced Burn Life Support (ABLS) Provider Manual. 2018.
  • Pham TN, et al. American Burn Association Practice Guidelines Burn Shock Resuscitation. J Burn Care Res. 2008;29(1):257-266.
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