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Contact palm burns in toddlers from glass enclosed fireplaces
C M Dunst1, E C Scott, J J Kraatz
1Department of Surgery, Hennepin County Medical Center, Minneapolis, Minnesota, USA.
Insights
Gas fireplace burns in children are rising alarmingly. These pediatric palm burns often require intensive therapy or surgery, highlighting an avoidable home safety risk.
Area of Science:
- Pediatric burn injuries
- Home safety
- Consumer product safety
Background:
- Gas fireplaces are increasingly popular in homes.
- This popularity has led to a rise in pediatric burn incidents.
- Children under 5 are particularly vulnerable to these injuries.
Purpose of the Study:
- To investigate the incidence and characteristics of pediatric palm burns associated with gas fireplaces.
- To identify risk factors and outcomes of these injuries.
- To raise awareness about this preventable home hazard.
Main Methods:
- Retrospective review of medical records for patients under 5 years old.
- Data collected from 1996 to 2002.
- Analysis of burn incidence, severity, treatment, and complications.
Main Results:
- A 15-fold increase in the incidence of pediatric palm burns from gas fireplaces was observed.
- Thirty-nine patients were identified, with a mean age of 12.8 months.
- While most burns were superficial, 21% of children experienced complications requiring intensive therapy or surgery.
Conclusions:
- Pediatric palm burns from gas fireplace glass enclosures represent a significant and avoidable danger.
- Most injuries require conservative treatment, but a notable percentage necessitate advanced interventions for functional recovery.
- Enhanced home safety measures and parental awareness are crucial to prevent these injuries.
Abstract:
We have seen an alarming increase in the incidence of pediatric palm burns associated with gas fireplaces. The increasing popularity of these units places more children at risk. Medical records of patients under the age of 5 years who sustained hand burns from contact with the glass enclosure of gas fireplaces from 1996 through 2002 were reviewed. Thirty-nine patients were identified, with a mean age of 12.8 months. A 15-fold increase in incidence was observed. Thirty-three patients suffered superficial second-degree burns that were treated conservatively. Twenty-one percent of children developed significant wound complications requiring intensive therapy including extension splinting or surgery. Pediatric burns resulting from palmar contact with the glass enclosures of gas fireplaces have emerged as an avoidable new danger within the home. Although most of these injuries heal with conservative treatment alone, many require surgery or other intensive management to regain acceptable function.
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