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Published on: November 6, 2018
Hot iron burns in children
Megan Simons1, Darren Brady, Maria McGrady
1Department of Paediatrics and Child Health, Stuart Pegg Paediatric Burns Centre, Royal Children's Hospital, University of Queensland, Brisbane, Queensland 3rd Floor, Foundation Building, Herston Road, Australia.
Insights
Hot iron burns are a significant, preventable cause of injury in children. This study highlights the need for public education and improved iron safety features to reduce these common household accidents.
Area of Science:
- Pediatric burn injuries
- Household accident prevention
- Consumer product safety
Background:
- Contact burns from irons represent a common and preventable cause of injury in children.
- Previous documentation of these specific burn types is limited.
Purpose of the Study:
- To document and describe the characteristics of burns resulting from contact with hot irons in pediatric patients.
- To identify risk factors and outcomes associated with iron burns in children.
Main Methods:
- Prospective data collection from 50 children treated for iron burns between 1997 and 2001.
- Analysis of patient demographics, burn cause (contact vs. cord pull), burn site, body surface area (BSA), interventions, complications, and hand preference.
Main Results:
- The median age of affected children was 17 months.
- Burns were primarily caused by touching the iron (44%) or pulling the cord (38%).
- Seventy-six percent of burns affected the hands, with 36% requiring grafting and 42% resulting in scarring.
Conclusions:
- There is a substantial opportunity for preventing hot iron burns in children.
- A public education campaign is planned, including point-of-purchase information, media outreach, and lobbying manufacturers for enhanced safety features.
Unlabelled:
Burns for contact with irons are an important preventable cause of burns in children. The objective of this study, was to document and describe these burns. The report describes 50 children with iron burns who were treated at our Burns Unit between 1997 and 2001.
Methods:
Prospective data collection demographics, nature of contact with iron, site, body surface area (BSA), medical and surgical interventions and complications and hand preference were examined.
Results:
The median of age patients was 17 months. The majority of burns were caused by touching the iron (44%) or by pulling the cord (38%). Most of the children were supervised (74%) and the iron was switched off in 34% of the injuries. Seventy-six percent of children sustained hand burns. Although, burn areas were relatively small, 36% required grafting. Residual scarring occurred in 42% and contractures in 10%. Surgical release of contractures was required in 4%.
Conclusion:
There is clearly a wide scope for prevention of hot iron burns. A public education campaign is now planned including: leaflets distributed at the point of purchase of the iron, public education via media outlets and lobbying of iron manufacturers to improve safety features.
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