1. What is the Palm Method for Burn Assessment?

Definition: The palm method is a quick way to estimate the percentage of total body surface area (%TBSA) affected by burns.

Purpose: It provides emergency responders and medical professionals with a rapid assessment tool when more precise methods aren't available.

2. How Does the Palm Method Work?

The calculator uses the simple formula:

Where:

• %TBSA — Percentage of Total Body Surface Area affected
• 1 palm — Approximately 1% of body surface area (including fingers)

Explanation: The patient's palm (including fingers) represents about 1% of their total body surface area. The affected area is measured in "palms."

3. Importance of Burn Surface Area Estimation

Details: Accurate %TBSA estimation is crucial for:

• Determining fluid resuscitation needs
• Assessing burn severity
• Making transfer decisions
• Predicting outcomes

4. Using the Calculator

Tips:

• Use the patient's own palm for measurement (not the caregiver's)
• Count how many "palms" of surface area are burned
• Enter the number of palms in the calculator

5. Frequently Asked Questions (FAQ)

Q1: Is this method accurate for all patients?
A: It's reasonably accurate for adults. For children, the palm represents a larger percentage (use age-specific charts for precise calculation).

Q2: What about irregular burn patterns?
A: For scattered burns, estimate the total area that would equal complete palms.

Q3: How does this compare to the Rule of Nines?
A: The Rule of Nines is better for large burns, while the palm method is better for smaller or irregular burns.

Q4: What's considered a major burn?
A: Typically >10% TBSA in children or >15% in adults, or any burn involving sensitive areas.

Q5: When should I use more precise methods?
A: For critical decisions or when time permits, use Lund-Browder charts or digital tools.