Which statement about the Lund-Browder chart is true?

• A. The Lund-Browder chart accounts for age-specific body proportions and is the most accurate in children
• B. The Lund-Browder chart uses fixed percentages for all ages
• C. The Lund-Browder chart is less accurate in children
• D. The Lund-Browder chart is outdated and rarely used

Answer: (A)

Estimating burn size in children relies on a tool that reflects how body proportions change with age. The Lund-Browder chart does this by adjusting the surface area percentages for different body parts depending on age, so the head, trunk, arms, and legs are weighted appropriately as a child grows. Because a child’s head is proportionally larger and the legs smaller early on, fixed percentages used for adults (like the Rule of Nines) tend to misestimate TBSA in kids. The Lund-Browder chart provides age-specific values, making it the most accurate option for pediatric patients and guiding crucial decisions in fluid resuscitation and care. It isn’t based on fixed percentages for all ages, it isn’t less accurate in children, and it isn’t considered outdated or rarely used; it remains standard in pediatric burn assessment.