Accidents: Practice Question

An autopsy is performed on a 23 year old female who died in a house fire. Her anterior torso and entire left upper extremity and left lower extremity are burned. What approximate percentage body surface area was burned?
  1. 45%
  2. 18%
  3. 27%
  4. 36%
  5. 9%
Show Answer and Explanations

45% — Correct answer

Correct. Rule of 9's: Head: 9% (18% in a baby), anterior trunk: 18%, posterior trunk: 18%, upper extremity: 9%, lower extremity: 18%, perineum: 1%. In this case, the anterior torso is approximately 18% body surface area, the left upper extremity is 9%, the left lower extremity is 18%. 18 + 9 + 18 = 45.

18%

Incorrect. Rule of 9's: Head: 9% (18% in a baby), anterior trunk: 18%, posterior trunk: 18%, upper extremity: 9%, lower extremity: 18%, perineum: 1%. 18% would be the anterior or posterior trunk alone, or both arms, or 1 leg, or the head and one arm etc.

27%

Incorrect. Rule of 9's: Head: 9% (18% in a baby), anterior trunk: 18%, posterior trunk: 18%, upper extremity: 9%, lower extremity: 18%, perineum: 1%. 27% would be the anterior trunk and an arm, or the head, etc.

36%

Incorrect. Rule of 9's: Head: 9% (18% in a baby), anterior trunk: 18%, posterior trunk: 18%, upper extremity: 9%, lower extremity: 18%, perineum: 1%. 36% would be the anterior and posterior trunk, or both legs, etc.

9%

Incorrect. Rule of 9's: Head: 9% (18% in a baby), anterior trunk: 18%, posterior trunk: 18%, upper extremity: 9%, lower extremity: 18%, perineum: 1%. Each arm is 9% surface area, the head covers 9% surface area, an anterior surface or posterior surface of a leg is 9% etc.

Summary

Summary:

Rule of 9's

Body Area Percentage
Head 9% (18% in a baby)
Anterior Trunk 18%
Posterior Trunk 18%
Upper Extremity 9%
Lower Extremity 18%
Perineum 1%
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