| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 3104293 | Burns | 2015 | 7 Pages |
•Lund–Browder total body surface area (TBSA) burned was calculated faster using a software application on a smart device than using the standard paper and pencil method.•The smart device application results were not significantly different from those of the standard method.•The smart device application is as safe and reliable as the current standard.•Built in tutorials and ease of use may reduce medical errors made during TBSA calculation.
We have developed a novel software application that provides a simple and interactive Lund–Browder diagram for automatic calculation of total body surface area (TBSA) burned, fluid formula recommendations, and serial wound photography on a smart device platform. The software was developed for the iPad (Apple, Cupertino, CA) smart device platforms. Ten burns ranging from 5 to 95% TBSA were computer generated on a patient care simulator using Adobe Photoshop CS6 (Adobe, San Jose, CA). Burn clinicians calculated the TBSA first using a paper-based Lund–Browder diagram. Following a one-week “washout period”, the same clinicians calculated TBSA using the smart device application. Simulated burns were presented in a random fashion and clinicians were timed. Percent TBSA burned calculated by Peregrine vs. the paper-based Lund–Browder were similar (29.53 [25.57] vs. 28.99 [25.01], p = 0.22, n = 7). On average, Peregrine allowed users to calculate burn size significantly faster than the paper form (58.18 [31.46] vs. 90.22 [60.60] s, p < 0.001, n = 7). The smart device application also provided 5 megapixel photography capabilities, and acute burn resuscitation fluid calculator. We developed an innovative smart device application that enables accurate and rapid burn size assessment to be cost-effective and widely accessible.
