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The rule of nines is a method doctors and emergency medical providers use to easily calculate the treatment needs for a person who’s been burned. It’s sometimes referred to as the Wallace rule of nines after Dr. Alexander Wallace, the surgeon who first published the method. The creation of this method is credited to Pulaski and Tennison. he rule of nines is meant to be used for: second-degree burns, also known as partial-thickness burns third-degree burns, known as full-thickness burns The rule of nines is a tool used to estimate a burn's percentage of your total skin. It divides your body into sections by multiples of 9% each. Parts of the Rule of Nines The sections in the rule of nines are: Head: 9% Genitalia: 1% Arm: 9% Leg: 18% Torso: 36% The body sections can divide in half. For example, the front side of one arm or your head is 4.5% of your total body surface area. The front and back of your torso are 18% each. These percentages are accurate for people over age 14. The Rule of Nines in inaccurate in children due to the relative disproportion of body parts: hips and legs are smaller head, neck and shoulders are larger Hence, a pediatric version is available in chart form that estimates burn area as it changes with age. Alternatively, an estimate can be made from the following for a child up to the age of one year: head and neck total for front and back: 18% thorax and abdomen front: 18% thorax and abdomen back: 18% each upper limb total for front and back: 9% each lower limb total for front and back: 14%