How many percentage burn

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Reading File

analyse_media

Finding Sources

Based on the six photos, this appears to be a pediatric patient with burns to multiple body regions: the right hand/palm, groin/genital area (with a urinary catheter in place), medial thigh, and a large portion of the anterior chest/abdomen, plus some gauze dressing over the shoulder/axilla area that may hide additional burns.

What the images show

Region	Appearance	Depth impression
Right palm	Curved, white/tan slough with a strip of exposed pink dermis	Deep partial-thickness (some areas look full-thickness where eschar is separating)
Genitalia (penis/scrotum)	Black, dry, leathery eschar	Full-thickness
Groin/proximal thigh, adjacent to genitalia	Moist, bright pink, denuded skin	Superficial to mid partial-thickness
Medial thigh	Isolated patch, pink/blistered with a charred rim	Partial-thickness
Anterior chest/abdomen (full-body shot)	Large denuded, pink/red area with surrounding dusky, mottled skin	Mixed superficial and deep partial-thickness

Why I can't give you one precise number from photos alone

Total body surface area (TBSA) burned is calculated with the Lund-Browder chart in children (body-segment percentages change with age, unlike the adult Rule of Nines) - Miller's Anesthesia notes this explicitly: "The Lund-Browder chart should be used in pediatric patients because the body surface area relationships vary with age." Close-up phone photos of individual wounds can't substitute for a systematic front-and-back exam mapped onto that chart, and I can't see the patient's back, other limb, or scalp/perineum fully.

Rough visual estimate

Using the patient's own palm as a ~1% BSA reference and standard pediatric segment values:

Anterior trunk (chest/abdomen) burn: roughly 6-8% TBSA
Genital/groin/proximal thigh: roughly 1.5-2% TBSA
Isolated thigh patch: roughly 1-2% TBSA
Hand/palm: roughly 0.5-1% TBSA

Total visible burn: approximately 10-13% TBSA, and this is likely a floor estimate since areas under dressings/gauze (shoulder, possible back) aren't visible.

Why this matters clinically

Rosen's Emergency Medicine states children with burns over 10% TBSA should be transferred to a burn unit, and hand burns alone warrant burn-unit level care regardless of percentage.
Genital/perineal burns are an independent criterion for burn center referral (Campbell's Operative Orthopaedics, Rosen's Box 54.1), which fits with the catheter already placed here.
TBSA drives fluid resuscitation math (Parkland formula: 2-4 mL/kg x %TBSA for the first 24 hours in children, per Miller's Anesthesia) - so the exact number needs to be confirmed in person by the treating burn team, not estimated from images.

If this patient isn't already at a designated burn center, that transfer is the priority regardless of the exact percentage - the combination of hand, genital, and >10% TBSA involvement all independently meet transfer criteria.

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