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Hot ash burns in the children of Western Australia: how and why they happen
L Martin1, S Rea1, T McWilliams2
1Burn Injury Research Unit, University of Western Australia, Perth, Australia; Burn Service of Western Australia, Princess Margaret Hospital for Children, Perth, Australia; Fiona Wood Foundation, P.O. Box 4101, Wembley, WA 6913, Australia.
Insights
Hot ash burns frequently affect young children in Western Australia, particularly those camping. Targeted campfire safety campaigns for carers are recommended to prevent these common paediatric injuries.
Area of Science:
- Paediatric burn research
- Injury prevention science
- Public health initiatives
Background:
- Hot ash burns are a significant cause of paediatric admissions in Western Australia.
- A review of 50 paediatric hot ash burn cases from 2011-2012 highlights the need for prevention strategies.
- Understanding injury patterns, seasonality, and risk factors is crucial for effective public health campaigns.
Purpose of the Study:
- To analyze the incidence and characteristics of hot ash burns in children.
- To identify specific risk factors and seasonal trends associated with these injuries.
- To inform targeted prevention campaigns for paediatric burn injuries.
Main Methods:
- Retrospective review of medical records for paediatric burns unit admissions in 2011-2012.
- Data collection included patient demographics, injury circumstances, burn severity, and treatment.
- Analysis focused on identifying patterns in age, burn size, and injury context.
Main Results:
- Hot ash burns constituted 8.6% of total admissions and 16.1% of non-metropolitan burns.
- The median age of affected children was under 3 years, with a median burn total body surface area (TBSA) of 2%.
- Injuries were more common outside of summer, on non-school days, and during camping trips.
Conclusions:
- Targeted prevention campaigns are effective for reducing paediatric burn injuries.
- Carers of young children, especially those who camp, are a key demographic for intervention.
- Distributing campfire safety information at camping-related venues can effectively reach at-risk populations.
Introduction:
Burns from hot ash are common in the paediatric population in Western Australia. Fifty children were admitted to the paediatric burn centre with hot ash contact burns to the feet in 2011 and 2012. It is important to examine the extent of the problem, seasonal variations, and identify those at risk to determine strategies for prevention campaigns.
Method:
Retrospective review of medical notes for all admissions to the paediatric burns unit was undertaken for 2011 and 2012. Data were collected for patient demographics, time, circumstance of injury, burn severity and treatment.
Results:
Hot ash burns accounted for 8.6% of admissions but 16.1% of burns sustained in non-metro areas. Median age was just under 3 years, male or female. Median burn TBSA was 2%, and 44% of children required surgery. The burns were less common in summer, more common on non-school days and in children who were on camping trips away from home.
Discussion:
Previous work has shown the value of targeted campaigns. The group for targeted prevention campaigns are the carers of very young children who go camping. Information distributed at camping shows and stores about the principles of campfire safety would reach the people at risk.
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