Assessment Triage
Clinical burn-depth assessment is accurate in only 60-75% of cases even in expert hands, driving decades of work on objective imaging. Laser Doppler imaging is the only modality with regulatory clearance and a large evidence base. Optical and spectral techniques and AI applied…
Burn size, depth, and severity scoring drive referral, fluid resuscitation, surgical planning, and mortality risk stratification. Rule of Nines and Lund-Browder carry overestimation bias; digital and 3D tools show higher accuracy. Clinical depth assessment is two-thirds…
- Burn depth assessment — laser Doppler imaging
Laser Doppler imaging (LDI) reads dermal perfusion as a proxy for burn healing potential, separating wounds that will heal in under 21 days from those needing excision and grafting. Accuracy is poor…
- Burn scar assessment scales
Burn scar assessment scales score scars across vascularity, pigmentation, pliability, and height. The Vancouver Scar Scale anchors the field but received indeterminate ratings on construct validity…
- Mortality prognostic scores in burns
Burn mortality prediction rests on a small set of admission variables: age, percent TBSA, full-thickness extent, and inhalation injury. Composite scores built on these inputs include the Baux and…
- TBSA estimation methods (Rule of Nines, Lund-Browder, palm)
TBSA estimation drives fluid resuscitation, burn-center referral, and mortality scoring. Rule of Nines, Lund-Browder, and palmar methods carry well-documented overestimation bias and inter-rater…