Burn Percentage in Adults: Rule of Nines

What Is the Rule of Nines in Burns?

Burns can be measured by estimating the body surface area on an adult that has been burned by using multiples of 9.
Burns can be measured by estimating the body surface area on an adult that has been burned by using multiples of 9.

When measuring burns in adults, the rule of nines assesses the percentage of burn and is used to help guide treatment decisions including fluid resuscitation and becomes part of the guidelines to determine transfer to a burn unit.

How to measure burns in adults

You can estimate the body surface area on an adult that has been burned by using multiples of 9.

Picture of the Rule of Nines used to evaluate burn victims

In an adult who has been burned, the percent of the body involved can be calculated as follows:

  • If both legs (18% x 2 = 36%), the groin (1%) and the front chest and abdomen were burned, this would involve 55% of the body.
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