Last updated: 2026-10-15T00:00:00+00:00 · 2 tools in this category
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Burn assessment references for supervised EMS training

The burn tool estimates partial- and full-thickness TBSA using age-adjusted Lund-Browder regions and offers a classical Parkland calculation (4 mL × kg × %TBSA) as an educational comparison. It is not a patient-specific fluid order or a complete burn assessment.

ABA burn-shock guidance recommends starting at 2 mL/kg/%TBSA for adults with burns at least 20% TBSA, with clinical titration. That adult recommendation is not a pediatric prescription. Burn-center referral is a separate decision: partial-thickness burns at least 10% TBSA and full-thickness burns require immediate consultation with consideration for transfer; all pediatric burns may benefit from referral. Follow the linked ABA criteria and local medical direction.

The EMS locator shows mapped OpenStreetMap facilities, not live ambulance availability, receiving capability or dispatch recommendations.

FAQ

Total Body Surface Area — the percentage of a patient's body affected by partial-thickness (2°) and full-thickness (3°) burns. Superficial 1° burns (sunburn) are not counted toward TBSA. The number drives fluid resuscitation, transfer to a burn center, and prognosis.

Use Rule of Nines for any patient 15 years or older. Use Lund-Browder for pediatric patients (under 15). Children's heads are proportionally larger and legs proportionally smaller than adults — Lund-Browder adjusts the regional percentages by age bracket (under 1, 1–4, 5–9, 10–14).

The classical Parkland formula is 4 mL × kg × %TBSA for a 24-hour volume, with half in the first 8 hours from injury and half in the next 16. This tool shows that historical training calculation, not a fluid order. ABA guidance for adults with burns at least 20% TBSA recommends a 2 mL/kg/%TBSA starting volume with clinical titration; pediatric care requires its own protocol.

References & Notes

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Training reference only. All tools are for informational and training purposes and do not replace official department policies, training, medical protocols, or professional judgment. Always follow your AHJ and your department's SOP/SOG.