Which type of burn is NOT included in the estimation of Total Body Surface Area (TBSA) used for fluid resuscitation?

The determination of Total Body Surface Area (TBSA) is essential in guiding fluid resuscitation for burn patients. Superficial first-degree burns, while they can cause discomfort and some skin changes, do not typically affect the deeper structures of the skin and do not result in significant fluid loss. These burns primarily affect only the epidermis and are characterized by redness and minor swelling without blistering or tissue loss.

In contrast, second-degree burns, whether superficial or deep, and full thickness third-degree burns involve deeper layers of skin and can lead to considerable fluid shifts. They compromise the integrity of the skin, which can lead to severe dehydration and require careful management with fluid resuscitation. Therefore, these types of burns are included in the estimation of TBSA.

Focusing on superficial first-degree burns as not included in TBSA for fluid resuscitation highlights their lower severity and reduced impact on the body's overall fluid status compared to the other types of burns listed.