ePoster
Presentation Description
Institution: Royal Darwin Hospital - Northern Territory, Australia
Purpose: Contact burns (24%) are the second most common cause of burns in the paediatric population after scalds (49%) (1). These burns typically affect functionally important areas such as the hands and soles of feet and can be deep and may require debridement and skin grafting. Anecdotally, our unit sees high numbers of contact burns in the paediatric population in the Northern Territory caused by hot coals, ash and campfires, much akin to that of wood heaters in the southern states.
Method: A 5-year retrospective cohort study was undertaken examining cases of contact burns in the paediatric population requiring admission to the burns unit at the Royal Darwin Hospital, between 2018-2022. Cases were identified from the local burns unit database.
Results: 50 children were admitted to Royal Darwin Hospital with a contact burn during the study period. The common mechanisms of injury include stepping on hot coals or ashes, campfires and bonfires. The median age was 2 (IQR 1.6-4) and 37 (77%) patients were males. The median affected TBSA was 1% (range <0.5-15%) with the hands and feet most often affected (81%). 34 (71%) patients received adequate burns first aid. 18 (38%) of burns were either deep dermal or full thickness.
Conclusion: Contact burns caused by hot coals or fires are common in the Northern Territory. There is clearly a role for a targeted education and prevention campaign to reduce the incidence of these injuries in the future.
1. Burns Registry of Australia and New Zealand (BRANZ), 2021. Annual report 2020/21. Department of Epidemiology and Preventive Medicine, Monash University, Australia.
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Authors
Dr. Thomas Whitton - , Dr. Emily Ryan -