Rule of Nines Worksheet 2

Rule of Nines Math Activity Please indicate the total burn surface area (TBSA) of the burns described below. Then calculate the fluid resuscitation needed in the timeline indicated. Please use the Parkland formula: 4 X KG X TBSA. 1. An 18 yr old male weighing 82 kg burns his back, the back of his left leg, and his entire right arm in a house fire. a. TBSA – 36% Rate for 1 st 8 hrs – 738ml/hr b. 24 hours – 5904ml Rate for last 16 hrs – 369ml/hr c. 8 hours – 2. A 26 yr old female was burned while starting the grill while using gasoline to “speed things up.” She burned her face, her bilateral anterior arms, and her chest. She weighs 176 lbs. a. TBSA – 22.5% b. 24 hours – 7200ml Rate for 1 st 8 hrs – 450ml/hr c. 8 hours – 3600ml Rate for last 16 hrs – 225ml/hr 3. A 25 yr old male weighing 104 kg is involved in a car accident. He burns his chest and perineal area. a. TBSA – 10% b. 24 hours – 7200ml Rate for 1 st 8 hrs – 450ml/hr c. 8 hours – 250ml Rate for last 16 hrs – 32.5ml/hr (33) 4. A 46 yr old male is burned by a gasoline explosion while starting his lawn mower. He burns the anterior portion of both legs, his perineal area, his chest, and the anterior portion of both arms. He weighs 264 lbs. a. TBSA – 46% b. 24 hours – 22080ml Rate for 1 st 8 hrs – 1380/hr c. 8 hours – 11040ml Rate for last 16 hrs – 690/hr 5. A 52 yr old female burns half her chest, most of her back, and most of her left leg while retrieving her cat from a house fire. She weighs 143 lbs. a. TBSA – 36% b. 24 hours – 9360ml Rate for 1 st 8 hrs – 545/hr c. 8 hours – 4680ml Rate for last 16 hrs – 272.5/hr (273) 6. A 68 yr old man lights a cigarette while filling up his tank at Valero. He burn his face, his chest, and his bilateral arms. Running away, he managed to stop drop and roll which then spread the fire to his back. He weight 242 lbs. a. TBSA – 40.5% b. 24 hours – 17820ml Rate for 1 st 8 hrs – 1114/hr c. 8 hours – 8910ml Rate for last 16 hrs – 557/hr