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Physician's estimate the volume of fluid lost in a severely burned patient by using the rule of nines.

This is a formula for estimating the percentage of adult body surface covered by burns by assigning 9% to the head and each arm, twice 9% (18%) to each leg and the anterior and posterior trunk, and 1% to the perineum. This is modified in infants and children because of the proportionately larger head size.

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