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Published on: November 6, 2018
Patterns of scald injuries
1Department of Child Health, University of Wales College of Medicine, Llandough Special Children Centre, Penarth, South Glamorgan.
Archives of Disease in Childhood
|August 1, 1994
Summary
Bath scalds significantly impact children under five, with accidental injuries often irregular and non-accidental ones showing distinct patterns. Reducing hot water tank temperatures is key for prevention.
Area of Science:
- Pediatric Burn Injuries
- Injury Prevention
- Child Safety
Background:
- Bath water scald injuries are a common cause of burns in young children.
- Understanding injury patterns is crucial for effective prevention strategies.
Purpose of the Study:
- To characterize bath water scald injuries in children.
- To differentiate between accidental and non-accidental scalds.
- To identify prevention opportunities.
Main Methods:
- Retrospective analysis of 68 children admitted to a specialist burns unit over 2 years and 6 months.
- Data collected on bath-related scald injuries in children under 5 years.
- Comparison of injury characteristics between accidental and non-accidental cases.
Main Results:
- Bath scalds affected 14.7 per 100,000 children under 5 annually.
- Most injuries occurred from falling in the bath; taps were often turned on by children or siblings.
- Non-accidental scalds presented with clear tide marks, inconsistent histories, associated injuries, and symmetrical lesions, unlike irregular, asymmetrical accidental scalds.
Conclusions:
- Bath scalds are a significant public health issue for children under 5.
- Prevention requires integrated injury control programs and reducing domestic hot water temperatures.
- Multidisciplinary collaboration is essential for identifying and managing non-accidental scald injuries.
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