Dorothee I Riedlinger1, Paul A Jennings2, Dale W Edgar3, John G Harvey4, Ms Heather J Cleland5, Fiona M Wood6, Peter A Cameron7. 1. Monash University, Department of Epidemiology and Preventive Medicine, Melbourne, VIC, Australia; Charite University Medicine, Berlin, Germany. 2. Monash University, Department of Community Emergency Health and Paramedic Practice, Melbourne, VIC, Australia. Electronic address: paul.jennings@monash.edu. 3. Royal Perth Hospital, Perth, WA, Australia. 4. The Children's hospital at Westmead, Sydney, NSW, Australia; The Children's Hospital Burns Research Institute, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia. 5. The Victorian Adult Burns Unit, The Alfred Hospital, Melbourne, VIC, Australia. 6. Royal Perth Hospital, Burns Unit, Perth, WA, Australia; University of Western Australia, Faculty of Medicine, Dentistry & Health Sciences, Burns Injury Research, Perth, WA, Australia. 7. Monash University, Department of Epidemiology and Preventive Medicine, Melbourne, VIC, Australia.
Abstract
INTRODUCTION: Scalds are a common injury in children and a frequent reason for hospitalisation despite being a preventable injury. METHODS: This retrospective two year study reports data from 730 children aged 14 years or younger who sustained a scald between 2009 and 2010 and were admitted to a burns centre in Australia or New Zealand. Data were extracted from the Burn Registry of Australia and New Zealand (BRANZ), which included data from 13 burns centres in Australia and New Zealand. RESULTS: Scald injury contributed 56% (95% CI 53-59%) of all pediatric burns. There were two high risk groups; male toddlers age one to two, contributing 34% (95% CI 31-38%) of all scalds, and indigenous children who were over 3 times more likely to experience a scald requiring admission to a burns unit than their non-indigenous peers. First aid cooling by non-professionals was initiated in 89% (95% CI 86-91%) of cases but only 20% (95% CI 16-23%) performed it as recommended. CONCLUSION: This study highlights that effective burn first aid reduces hospital stay and reinforces the need to encourage, carers and bystanders to deliver effective first aid and the importance of targeted prevention campaigns that reduce the burden of pediatric scald burns in Australia and New Zealand.
INTRODUCTION: Scalds are a common injury in children and a frequent reason for hospitalisation despite being a preventable injury. METHODS: This retrospective two year study reports data from 730 children aged 14 years or younger who sustained a scald between 2009 and 2010 and were admitted to a burns centre in Australia or New Zealand. Data were extracted from the Burn Registry of Australia and New Zealand (BRANZ), which included data from 13 burns centres in Australia and New Zealand. RESULTS: Scald injury contributed 56% (95% CI 53-59%) of all pediatric burns. There were two high risk groups; male toddlers age one to two, contributing 34% (95% CI 31-38%) of all scalds, and indigenous children who were over 3 times more likely to experience a scald requiring admission to a burns unit than their non-indigenous peers. First aid cooling by non-professionals was initiated in 89% (95% CI 86-91%) of cases but only 20% (95% CI 16-23%) performed it as recommended. CONCLUSION: This study highlights that effective burn first aid reduces hospital stay and reinforces the need to encourage, carers and bystanders to deliver effective first aid and the importance of targeted prevention campaigns that reduce the burden of pediatric scald burns in Australia and New Zealand.
Authors: M Elmasry; I Steinvall; J Thorfinn; A H Abbas; O A Adly; I Abdelrahman; M A Nagi; F Sjoberg Journal: Ann Burns Fire Disasters Date: 2016-06-30
Authors: Christian Smolle; Janos Cambiaso-Daniel; Abigail A Forbes; Paul Wurzer; Gabriel Hundeshagen; Ludwik K Branski; Fredrik Huss; Lars-Peter Kamolz Journal: Burns Date: 2016-09-03 Impact factor: 2.744