Determining Total Body Surface Area
Wallace Rule of Nines and Palmer Method
Rule of Nines for Adults (Age >14 years) Rule of Nines for Infants (Age < 1 year)
Palmer Method
Rule of Nines for Children (1-14 years)
Estimate from fingers positioned together as
above. Utilize the patients palm size, not
your own.
The palmer method of estimating total body
surface area (TBSA) is an easy way to get a
rough burn size estimate that can be used
when calculating a patients fluid
resuscitation needs.
Minnesota Department of Health
Emergency Preparedness & Response
The patients palmar surface including their
St. Paul, MN 55155
651-201-5700 fingers = 1% TBSA
[email protected]www.health.state.mn.us
November, 2016 Courtesy of the American Burn Association.