Agents, mechanisms and clinical features of non-scald burns in children: A prospective UK study

Johnson, Emma; Maguire, Sabine; Hollén, Linda; Nuttall, Diane; Rea, David; Kemp, Alison

doi:10.1016/j.burns.2017.01.036

Cited by 12 publications

(10 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Scalds and contact burns were also usually smaller in size than flame burns. Another study of non‐scald burns in children from the UK found that only 6.5% of contact burns were full thickness 17 . An epidemiologic study of burns and scalds in children from South Wales found that most inpatient injuries were due to scalds while most outpatient injuries were due to contact burns 18 .…”

Section: Discussionmentioning

confidence: 99%

Comparison of comparable scald and contact burns in a porcine model: A preliminary report

Singer

Zhou

Osman

et al. 2020

Wound Repair Regeneration

View full text Add to dashboard Cite

Whether the depth and healing of scalds and contact burns are similar is controversial. Due to water's greater heat capacity, we hypothesized that when exposed to similar temperatures and durations of exposure, burns caused by hot water would be deeper than those caused by contact with hot metal. Forty standardized burns were created in two anesthetized female domestic pigs using a brass bar or circulating heated water. In one pig, the temperature was kept constant (95°C) while the duration of exposure varied (5, 10, 15 seconds) In the second pig, the exposure time was kept constant (10 seconds) while the temperature of exposure varied (70°C, 80°C, 98°C). Periodic punch biopsies were taken to determine burn depth immediately after injury, percentage burns reepithelialized within 21 days, and depth of scar at 28 days. The analysis was performed using analysis of variance. When the temperature was held constant, duration of exposure (5, 10, and 15 seconds) was associated with scar depth (2.1 vs 3.8 vs 5.0 mm, respectively, P = 0.001) but not with burn depth (2.0 vs 2.2 vs 2.3 mm, respectively, P = 0.10). When exposure duration was held constant, temperature (70°C, 80°C, 98°C) was associated with scar depth (0.6 vs 1.7 vs 3.6, P < 0.001) but not with burn depth (1.2 vs 1.5 vs 1.7 mm, respectively, P = 0.21). Burn depths were greater for scald than contact burns although not significantly greater. After controlling for temperature, the difference in scar depth between scalds and contact burns was statistically significant (marginal means 3.0 for contact burns, 4.3 for scalds, P = 0.008). We conclude that burns created in swine with circulating hot water result in deeper scars than those created by contact with a brass bar when controlling for temperature and duration of exposure.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of comparable scald and contact burns in a porcine model: A preliminary report

Singer

Zhou

Osman

et al. 2020

Wound Repair Regeneration

View full text Add to dashboard Cite

show abstract

“…However, prevention strategies should be used to educate parents and schools of young children regarding the safe use of portable household devices and electrical cords. Older school-aged children should be educated at school [19, 20].…”

Section: Discussionmentioning

confidence: 99%

Burn wounds after electrical injury in a bathtub: a case report

2019

View full text Add to dashboard Cite

Background Increased smartphone use among minors makes our population more prone to electrical injury. Despite regulations on electrical home safety standards, smartphones and chargers still pose a risk for severe injury among users. Case presentation We present a case of a patient with low-voltage electrical burns due to smartphone use in a bathtub. The 13-year-old Caucasian patient was using a smartphone plugged into the electrical grid while taking a bath. We report the burns and their treatment. We discuss the likely burn mechanism. Conclusions Burn wounds after electrical injury due to smartphone use are rare. The presented case shows the danger of smartphone use in bathtubs.

show abstract

“…The Burns & Scalds Assessment Tool (BaSAT) informs a number of studies (see Supplement S1 in the online Supporting Information). It is an evidence‐based proforma (Bennett et al, 2019; Johnson et al, 2017; Kemp et al, 2014, 2018) used by clinicians to standardise the documentation of clinical assessments of children with a burn. The BaSAT was introduced following training in three EDs (Bristol Royal Hospital for Children, University Hospitals Bristol NHS Trust, North Bristol NHS Trust and the Paediatric ED, University Hospital of Wales), two minor injuries units (MIUs) (North Bristol NHS Trust and Barry Community Hospital, South Wales) and the ED at the South West UK Children's Burns Centre in Bristol in 2013–14.…”

Section: Methodsmentioning

confidence: 99%

Would Shared Health Visitor and Emergency Department Records Improve Recognition of Child Maltreatment within the Emergency Department? A Prospective Multicentre Study

et al. 2020

View full text Add to dashboard Cite

Burns are common causes of paediatric emergency care attendance; approximately ten per cent result from maltreatment. Following emergency department (ED) attendance with a burn by 232 under five‐year‐olds, 11 risk factors for maltreatment were collected via health visitor (HV) telephone surveys. Three of these risk factors (domestic violence, social care involvement and developmental impairment) were also available in ED records, and information collected was compared between the two. Non‐parametric Fisher's exact tests were applied. Fifty‐nine per cent of children lived in families with risk factors for maltreatment. Prominent risk factors known by HVs included: prior injuries (n = 55, 23.7%), carer/parent mental health problems (n = 48, 20.7%), domestic violence (n = 47, 20.3%) and social care involvement (n = 45, 19.4%). A total of 158 cases had complete data for all 11 risk factors: 49 (31.0%) lived in households with one factor, 22 (13.9%) with two factors and 27 (17.1%) with three or more risk factors. In cases where HVs recorded the following risk factors as present, EDs recorded five of 47 (10.6%) for domestic violence, ten of 45 (22.2%) with social care involvement and four of 23 (17.4%) with developmental impairment. Many risk factors that were known to HVs were not identified by EDs staff despite being part of a standardised proforma. Maltreatment risk assessment could be improved if EDs staff had access to HV information.Key Practitioner Messages Fifty‐nine per cent of pre‐school children who attended an ED with a burn live in a family with one or more maltreatment risk factors, as identified by HV records. ED staff should be able to access a child's HV record electronically at the time of presentation, to identify known maltreatment risk factors. The lack of integration of community and acute setting health records is a barrier to comprehensive assessment and treatment decisions for children in EDs, especially in relation to safeguarding risks.

show abstract

Agents, mechanisms and clinical features of non-scald burns in children: A prospective UK study

Cited by 12 publications

References 26 publications

Comparison of comparable scald and contact burns in a porcine model: A preliminary report

Comparison of comparable scald and contact burns in a porcine model: A preliminary report

Burn wounds after electrical injury in a bathtub: a case report

Would Shared Health Visitor and Emergency Department Records Improve Recognition of Child Maltreatment within the Emergency Department? A Prospective Multicentre Study

Contact Info

Product

Resources

About