Understanding The Rule of Nines

In this detailed video, we break down the rule of nines in a way that is simple to remember, and easy to understand. Also we go over 3 practice problems at the end of the video.
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[@kadenisrice]

I just want to know what spiritbox means

[@jacobcaraway6145]

As for the meaning of the song, the literal is that the Rule of Nines is used to assess the percentage of burns on a body surface of a burn victim. In the songs case I feel the rule is meant to represent a dream of having no physical body to speak of anymore, to just be a form - unencumbered by pain - a free flowing form. In that form, one appreciates what it means to live, by feeling what it's like to figuratively die.

[@xy22]

Spiritbox brought me here:’D

[@kadenisrice]

xy22 lmaoo me too I wanna know what they mean

[@ewanrobinson5508]

Same

[@jacobcaraway6145]

Here ya go As for the meaning of the song, the literal is that the Rule of Nines is used to assess the percentage of burns on a body surface of a burn victim. In the songs case I feel the rule is meant to represent a dream of having no physical body to speak of anymore, to just be a form - unencumbered by pain - a free flowing form. In that form, one appreciates what it means to live, by feeling what it's like to figuratively die.

[@jeronica5148]

Thank you so very much. This med surge book was all over the place. Thank you for taking the time out to simplify the rule of nines!!!! Take care and God Bless.

[@K1ngDre-DMZ]

I must of missed it but on the second question, why is the upper chest only 4.5% instead of 9%?? The entire front chest is worth 18%

[@BrooklynAndPapi]

From my understanding, The entire front chest is not worth 18%. The entire chest PLUS the abdominal region is worth 18%. The chest is only 9% and can be divided into upper/lower or right/left side each being 4.5%..

[@erkanbatti]

+Andre Morales i think the secon question is wrong. it should be 4.5 for hand and forearm and 9 should be upper chest because entire anterior chest is 18 and entire back is 18 whole chest front and back is 36

[@wesworld98]

the torso is 18, the chest is 9, the abdomen is 9

[@eunicerajkumar2686]

?

[@karmagurung4213]

It's because your each abdomen is divided into four parts in which one part is 4.5% so whole abdomen is 18%

[@animatedgoose]

Thank you Spiritbox!

[@spirytsworldinwords4901]

Thank you so much! This helped me a lot for my anatomy test! Could you maybe do one on how messages travel between neurons, involving axons and action potentials? :) I love how simply you teach!

[@rldrummer40]

Tricky tricky! Great and tough questions. You really have to read and understand every word to the question. I can't imagine exam questions being more difficult, so if you can answer this, you should be able to answer anything!

[@Kziap]

I'm an EMT-B student currently and about 3 months in so I appreciate videos like this. Hope to see more educational things we can relate to!

[@Emergencymedicalcounsel]

Hey Ksy, Thanks for your support! Good luck in your EMT class, let us know how it is going. Are there any other videos you would like to see from us, we would like to eventually cover all the content presented in the EMT-B and Paramedic courses. If you ever have any EMS questions, we always have answers :)

[@Kziap]

Thanks as well. What do you think about a vid on the Glasgow Coma Score? Or idk put out whatever you guys have planned. I'm just interested in seeing new videos you come up with..so thanks!

[@r.e.s5210]

***** GCS is something you have to get your head around and be able to calculate quickly. That would be a great video.

[@Emergencymedicalcounsel]

***** Sounds good to us. GCS wasn't on our list of videos to do soon, but we will bump it up to the top.

[@Emergencymedicalcounsel]

Hey guys, just posted our GCS video. Hope you like it :) Glascow Coma Scale Made Super Simple

[@lauhuili1090]

the scenarios have really helped me to understand this formula !! thank you so much

[@cyndyloguercio]

thanks for the quick explanation! I'm in an aemt class about to finish up here and the burns is one area that just seems to stump me all the time! now add in the Baux and Parkland scores and formulas! looking forward to more from your group! thanks!

[@crissy5428]

I learn a lesson in this video. Thanks!

[@91nasha]

That was a simple and well explaining video. Appreciate it. Hope to see some orthopedics and neurology related topics too. Thanks. :)

[@Emergencymedicalcounsel]

Thanks Nuzzly :) Are there any more specific videos you'd like us to cover within orthopedics or neurology?

[@TheMadPredator]

+Emergency Medical Counsel in the second scenario, the forearms count for the hands too?

[@wesworld98]

Hey! this was an awesome video, I am going through EMT-B currently and we are covering this topic, would you mind explaining how the rules change for children/ adolescents, I am aware it is different but am not exactly sure how so. Thanks again!!

[@ten6222]

I finally got this!!! Thank you

[@marianagarrido61]

Hi, i'm confused on how is the upper chest worth 4.5 points, I thought it was 9? since it totals 18%?

[@franzbernadez3125]

the problem mentioned it was just the upper chest, so that's why its just 4.5%.

[@mimil8677]

Franz Bernadez It should be 9% because ANTERIOR TRUNK is 18% total. If it is only half of the anterior trunk it is 9% not 4.5%!! He is breaking down the upper chest in half that is why he is getting 4.5 since upper chest is 9%. I dont know why he is doing this. I'm in nursing school and our test is on burns coming up next and we calculate upper chest as 9%.

[@michaelbehrens9361]

+Trang Nguyen so the anterior trunk is 18, this can be divided into chest and abdomen (each worth 9%). So the "upper chest" is the upper half of the upper half of the anterior trunk (1/4 of the anterior trunk is worth 4.5%)

[@christophercatalano8541]

+Trang Nguyen .....and your in nursing school...smh

[@nkhethelengmasoetsa7855]

same here im glad i read the comments

[@christinetacotaco6533]

This made everything make sense. Thank you!

[@SuperAdijas]

very useful! Thankyou!

[@dianacortez5123]

This was sooooo helpful. Thank you!

[@angelica6079]

What is the breakdown of just the hands or feet? Is each hand 1%? And each foot 1%? In the first question, the burns to the hands were ignored, and the forearm was calculated as 2.25%. Thanks.

[@jessicaalgarin8042]

Thank you so much I needed this.

[@claudeneg]

great vid., very well explained. thank you

[@kiki611978]

upper chest region: is the upper part of a woman's torso, comprising her neck, shoulders, back and upper chest, that is exposed by the neckline of her clothing. However, the term is most commonly applied to a neckline that reveals or emphasizes cleavage. He states "upper chest" NOT "chest". Small details to look out for. Hope this helps

[@Spartan_1]

Amazing video, thank you

[@user-fn9tl2nq8p]

i think you should know that the arm region is different than in forearm region the burn happen only in the anterior /posterior arm only not in the forearm region in the last question .

[@anubhabsaikia4778]

Who else is here after watching Spiritbox- Rule of Nines?

[@brandipickard2364]

Please help, my practice dissection documentation says, Postoperative Diagnosis(es): Full-thickness burns to approximately 40% of the body surface area". Brief summary: "Patient sustained self-inflicted burns to the chest, abdomen, and multiple sites on his bilateral upper extremities when smoking in bed at home." NOS information of the bilateral upper extremities are given other than "multiple sites". The Rationale says correct code is, ICD-10-CM (T31.44) . I understand the diagnosis specifies 40% of TBSA but how are they getting 40-49% third degree burn area? The answer is prob. right in front of me and I'm over thinking it, But oh well

[@tamanfaisal]

thnx it was helpful if you please explain the rules of 9 for kids and infant

[@ginij3950]

wao this was really helpful !!!thanks so much

[@pmbilainhumble25]

Thank you for this vide lecture

[@karmagurung4213]

What happens when it only affects in palms and fingers of the right hand?✋

[@fatimataha77]

Thank you so much!

[@10pcWings]

On question 2 it says the following was burned: Hands, anterior forearms, and upperchest. I get the upperchest is 4.5 because its the chest region of 9% cut into a lower and upper half. But what i dont get is why you only got 2.25 for the anterior arms. And then didnt count anything for the hands at all.

[@10pcWings]

Lol nevermind. The key word was FOREARM. The anterior FOREARM is half of the front of the arm.

[@inner7]

If head & neck is 4.5 all together then why in the last example were the patient got his face burned you still say 4.5 ? i mean it shouldn't be minus the neck ? so burned face should score : 2.25 ?

[@1970barber]

This video answered all my questions except one. I have a problem where it's asking me about % burned, but one of them has me stumped. It say's half the face. since the face is 4.5% would the answer be 2.25% or would it be 4.5%?

[@ianflaherty2189]

Looks like one of your practice questions (the small campfire one) was taken from the FISDAP study tools website, victim was changed from a 21 y/o male to a 56 y/o female but everything else is the same. The bummer is FISDAP says the correct answer is 15%, not 9% as you state. Which one do you suppose is right?

[@akosiboaz]

Thanks for this! :D I now understand it yahooo

[@JessicaMartinez-nv5xj]

I thought the the front of the leg is 9% and the back is another 9% so if it’s circumferential that mean the whole leg wouldn’t that be 18 times four?

[@malak3229]

Thaaaank my exam is next week ..can u tel us how to calculate the fluid of this pt ...

[@namizalislam7278]

Thanks

[@twinzbuzzy5675]

thankyou that was helpful..i was thinking the secnd one would be of 18%.. !! is it or not? wanted to know!!

[@linagarcia4822]

Thanks dude

[@mohammedafif2817]

Thanks 🙏 alot amazing 😉 ❤️🌹

[@morethanegocentric5793]

I the face/head an upper extremity?

[@keshialoveable]

awesome..

[@geminibeaute5734]

thank youuuu

[@gaganparmar3797]

why 1/3 only for abdomen

[@Chishaification]

Hello. What is the percentage of the neck alone using this same rule of 9

[@talenteducation405]

The whole skull is in 9 % for neck around 2% But it's good to use palm method in TOTAL BODY SURFACE AREA

[@ChrissyEE]

what about hands and feet?

[@K1ngDre-DMZ]

Hands and feet are the same as arms and legs.... They are not separate in the rule of 9's

[@swaticnair8846]

how is rule of nines different in an adult and a child?

[@talenteducation405]

In children u get 14% in some parts i.e. 7% in each part , there by It's not too likely in the rule of 9 Instead of R of 9 it will be said as RULE OF 9 AND 7 But it was not existing in the method Answer :- palm method is used in between the age of 1 year upto adolescence

[@lensabulcha7031]

2nd question answer is wrong. 4.5+4.5+4.5 = 13.5

[@sammy2400]

I don't get the second question. For hands and anterior forearm that whole be half the arm so for each its 2.5+2.5 getting 5 not 4.5. then another 4.5 for upper chest so shouldnt the answer be 9.5??

[@kcinONE]

half of 4.5 is 2.25 not 2.5

[@anonvlogs281]

sorry please dont mind but you are having grammatical mistake at 2nd point check it out. THANK YOU.

[@Ronnie7X]

did you just assume his gender ?

[@ashlynmarshall765]

This was super helpful. Thank you!