It varies by who is looking
The same burn assessed by two clinicians, or on a different shift, does not reliably give the same percentage.
Stop estimating. Start measuring.
From a burn image to a clearer assessment.
Photograph the burn. Doctor Burn measures the area, reads the depth region by region, and works out the fluid volume, so the number you act on comes from the wound, not from a wall chart and a judgement call.
Illustrative example, not a clinical trial result.
Every fluid calculation starts with a number someone guessed.
Total body surface area is judged by eye against a wall chart, then multiplied straight into the Parkland formula. Whatever error the estimate carries, the fluid plan inherits.
- Seconds
- From photograph to result
- Repeatable
- Same photograph, same number
- Any phone
- No specialist hardware
- Nothing to install
- Sign in and use it
The adult chart is wrong for children
A newborn’s head is about 19% of body surface; an adult’s is 9%. Use the Rule of Nines on a child and the burn reads too small.
The error compounds into the fluids
TBSA is a direct multiplier in the Parkland formula. An area that reads low gives a fluid volume that reads low with it.
How it works
Four steps, at the bedside, in under a second.
[01]
Capture
Take the photo at the bedside on a phone or tablet. No extra hardware.
[02]
Measure
The wound edge is outlined automatically and its area measured.
[03]
Assess
Each area of the wound is assessed for depth.
[04]
Guide
A Parkland volume comes back with every assumption on screen, for you to check.
What it does
Three measurements, one photograph.
The area stops being an opinion
The burn edge is drawn from the photograph, so TBSA is measured rather than judged by eye, and the same photo gives the same number whoever holds the camera.
Deep burns get flagged early
Superficial, partial and full thickness are told apart area by area, so burns that need a surgical opinion surface early.
The fluid plan shows its working
Measured area, weight and, for children, height give a fluid volume split across the first 24 hours, with every input visible.
TBSA methodology
A child is not a small adult.
A newborn’s head is about 19% of their body surface; an adult’s is 9%. Doctor Burn checks the age first, then uses the matching row of the Lund-Browder chart. It moves with the patient from birth to adulthood, where the Rule of Nines stays fixed.
Nine percent blocks. Quick at the bedside, but the proportions never change with age.
Head, thigh and leg change most while a child grows, so those come off the age table, up to an adult row.
| Area | 0 | 1 | 5 | 10 |
|---|---|---|---|---|
| Head (A/D) | 9.5% | 8.5% | 6.5% | 5.5% |
| Thigh (B/E) | 2.75% | 3.25% | 4% | 4.25% |
| Leg (C/F) | 2.5% | 2.5% | 2.75% | 3% |
- The chart follows the patient’s age.
- Burn area comes from the photo, not from a guess.
- That area feeds straight into the fluid maths, every assumption on screen.
The difference
What changes on the ward round.
Assessment today
- Area judged by eye against a wall chart.
- The adult chart gets reached for regardless of the patient’s age.
- Two clinicians, two percentages, no way to reconcile them.
- The fluid volume inherits whatever error the area carried.
- Nothing recorded but a figure written in the notes.
Assessment with Doctor Burn
- Area measured from the photograph.
- Age selects the Lund-Browder row, automatically, for every patient.
- The same photo gives the same number on every shift.
- Fluid volume derived from the measured area: Parkland for adults, the Galveston children’s formula under 14, assumptions on screen.
- Photograph, measurement and calculation stored together for the record.
Validation
Evidence you can review before you commit.
The full report, not a headline
Pilot partners receive the complete validation write-up, including where performance is strongest and where it is not.
Judged on your own cases
A pilot runs alongside your existing workflow, so your team can compare results against their own assessments.
Deepest where it matters
The assessment is built to be cautious about burns that need escalation, the cases that change management.
Worked example
What comes back after the photo.
Parkland formula for adults: 4 mL × weight in kg × %TBSA, half of it in the first eight hours. Children under 14 use the Galveston formula instead.
| Parameter | Value |
|---|---|
| Patient weight | 85.0 kg |
| Measured TBSA | 27.4% |
| Total fluid (24 h) | 9,316 mL |
Infusion timeline
Hours 1–8: 4,658 mL
Hours 9–24: 4,658 mL
582 mL/h
291 mL/h
Pilot programme
See it run on your own cases.
We work with burns units and emergency departments to run Doctor Burn against real assessments. A pilot runs alongside your existing workflow and changes nothing about how you treat.
- Nothing to install, a browser is enough.
- Works on any phone or tablet.
- You get the full validation report for your own review.
FAQ
What clinicians ask first.
Does it replace clinical judgement?
No. It gives an estimate to check against the patient. Every treatment decision, fluids included, stays with the treating clinician.
How accurate is it, honestly?
Pilot partners get the full validation report and test it on their own cases.
What happens to patient photographs?
They are stored against the patient on our hosted service. You can delete a photo, or a whole patient record, from your workspace at any time. Deleted records leave your workspace, and Doctor Burn keeps them in its archive.
What do we need to run it?
A phone or tablet camera and a browser. Nothing to install.
Who is it for?
Trained healthcare professionals in emergency departments, burns units and retrieval teams. Not for patients or unsupervised use.
What this tool is for
- Doctor Burn helps clinicians. It does not diagnose, and it does not replace examining the patient.
- Every treatment decision, fluids included, stays with the treating clinician.
- Everything it gives you is an estimate. Check it against the patient in front of you.
- For trained healthcare professionals only.
- Patient photos and data are handled under the data protection rules that apply to you.
See what’s next for burn care.
Explore Doctor Burn with our team. Tell us a little about your organisation and what you would like to see.
Get in touch