Patterns of burns and scalds in children

A M Kemp1, S Jones, Z Lawson

  • 1Early Years Research Programme, Institute of Primary Care and Public Health, Cardiff University, , Heath Park, Cardiff, UK.

Insights

Childhood scalds from hot beverages and contact burns from household items like irons are common. Prevention efforts should focus on infants and toddlers to reduce these injuries.

Area of Science:

  • Pediatric Emergency Medicine
  • Burn Injury Prevention
  • Public Health

Background:

  • Childhood burns and scalds are significant public health concerns requiring targeted prevention strategies.
  • Understanding injury mechanisms and agents is crucial for effective intervention.

Purpose of the Study:

  • To characterize childhood burns and scalds, including their mechanisms and agents.
  • To inform the development of targeted prevention strategies for unintentional burn injuries in children.

Main Methods:

  • A prospective, multicentered, cross-sectional study was conducted.
  • Data were collected from children under 16 years presenting to Emergency Departments (ED) and specialized burns units.
  • Information gathered included injury site, severity, agent, mechanism, and patient demographics.

Main Results:

  • Scalds accounted for 58% of injuries, with hot beverages being the most common agent in young children (<5 years).
  • Contact burns were frequently caused by touching hot items like hair straighteners and oven hobs, with hands being the most affected site.
  • Young children (<5 years) were most affected, often by pull-down scald injuries.

Conclusions:

  • Infants and toddlers are particularly vulnerable to scalds from hot beverages and contact burns from common household appliances.
  • Targeted prevention programs focusing on these high-risk scenarios are essential for reducing childhood burn injuries.
Abstract

Related Concept Videos

Burn Injuries01:22

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
4.4K
Skin Cancer01:30

Skin Cancer

Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
5.2K
Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
37
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
1.0K
Decreased Body Temperature01:29

Decreased Body Temperature

A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
1.2K
Skin Diseases and Disorders01:23

Skin Diseases and Disorders

Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
5.4K