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Assaults by Scalding in British Prisons.

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Deliberate scald injuries from prison assaults are increasing, primarily using boiling water. These incidents pose significant challenges to burn services, necessitating enhanced security measures.

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Area of Science:

  • Forensic Medicine
  • Trauma Surgery
  • Public Health

Background:

  • Deliberate scald injuries from assaults within correctional facilities represent a serious concern.
  • These incidents place a unique strain on healthcare resources and security protocols.

Purpose of the Study:

  • To analyze the trends and severity of deliberate scald injuries from prison assaults.
  • To understand the impact of these injuries on burn services.

Main Methods:

  • Retrospective analysis of local records from the International Burn Injury Database (IBID) at Pinderfields Hospital.
  • Inclusion of national data to identify broader trends in prison-related scald injuries.

Main Results:

  • 22 cases treated at Pinderfields Hospital between 2003-2019, with a significant increase in the last 4 years.
  • Boiling water was the most common agent; injuries predominantly affected the face, neck, shoulders, and anterior chest (mean 2.8% TBSA).
  • National data revealed 267 cases, mirroring the rising trend and highlighting a significant burden on burn services.

Conclusions:

  • There is a concerning rise in deliberate scald injuries within UK prisons.
  • These injuries necessitate increased security and financial resources for burn treatment.
  • Exploring outreach nursing and telemedicine may mitigate management challenges.