Burn injuries among children in an urban emergency department

Banco, Leonard; Lapidus, Garry; Zavoski, R.; Braddock, Mary

doi:10.1097/00006565-199404000-00010

Cited by 27 publications

(18 citation statements)

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“…Similar to other countries (Lee, 1982;Onuba, 1988;Shrestha, 2006;Spinks, Wasiak, Cleland, Beben, & MacPherson, 2008), scald burns were the most frequent burn type. Research in the United States, however, revealed that the leading cause of burn injuries was contact with hot objects (Banco, Lapidus, Zavoski, & Braddock, 1994;Quayle, Wick, Gnauck, Schootman, & Jaffe, 2000). Consistent with the other studies, we found that poisoning was an important cause of injury in children aged 5 years.…”

Section: Discussionsupporting

confidence: 91%

Nonfatal unintentional injuries in children aged <15 years in Nicaragua

Rocha²,

Clavel-Arcas

et al. 2010

International Journal of Injury Control and Safety Promotion

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The objective of this study was to describe the nonfatal unintentional injuries among children aged <15 years treated in four emergency departments (EDs) in Nicaragua. The 2004 Injury Surveillance System included all cases of injuries that attended the four hospital EDs (n = 37,577). We analysed the records of 13,426 children aged <15 years who sustained nonfatal unintentional injuries. The leading causes of injuries were falls (50.5%), blunt force trauma (13.2%) and transport-related incidents (11.5%). Transport-related injuries primarily involved cyclists (42.3%) and motor-vehicle passengers (32.5%). Ten per cent of the injured children were hospitalised. This is the first study to present the epidemiology of nonfatal unintentional injuries among children treated in EDs in Nicaragua. Unintentional injuries are an important cause of morbidity, but the burden remains largely unaddressed. The implementation of the already well-established transportation-related prevention strategies should be a priority. Prevention of falls (falls being the leading cause of injury among children) demands further study.

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Section: Discussionsupporting

confidence: 91%

Nonfatal unintentional injuries in children aged <15 years in Nicaragua

Rocha²,

Clavel-Arcas

et al. 2010

International Journal of Injury Control and Safety Promotion

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“…1 -3 Few researchers have studied pediatric burns that present to emergency departments (EDs). 4,5 Although data from burn centers are important, by virtue of the fact that they often deal with deep, large, and complicated burns, much less information is gathered on smaller thermal injuries. Similarly, data from plastic surgery departments have tended to focus on patients admitted to hospital.…”

mentioning

confidence: 99%

Epidemiology and Outcome Analysis of 208 Children With Burns Attending an Emergency Department

Rawlins

Khan²,

Shenton³

et al. 2007

Pediatric Emergency Care

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“…Other epidemiologic studies of contact burns in children have shown that irons and stoves are important causes of contact burns in infants. [1][2][3][4]8,9 To our knowledge, however, only a single case report has described the risk of contact burns associated with gas fireplaces. 6 Domestic appliances that need to be hot to function, for example, irons, stoves, toasters, and heating devices, pose a risk for contact burns in young children.…”

Section: Discussionmentioning

confidence: 99%

“…Such burns are particularly common in young children. [2][3][4] For example, data from the Canadian Hospitals Injury Reporting and Prevention Program, which is an emergency department-based injury surveillance system, show that as many as one third of burn injuries in children younger than 5 years of age are contact burns. 5 Young children are particularly susceptible to contact burns because they have yet to master gross motor skills, are curious, and are often unaware of environmental hazards.…”

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confidence: 99%

Gas Fireplace Contact Burns in Young Children

Zettel

Khambalia

Barden

et al. 2004

The Journal of Burn Care &Amp; Rehabilitation

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Contact burns from domestic appliances are common in young children. Recently, gas fireplaces have been recognized as a potential cause of contact burns in young children. We sought to quantify the frequency of gas fireplace contact burns in young children, to identify the etiology of contact, to describe the clinical presentation, and to describe clinical outcomes. Children with gas fireplace contact burn injuries presenting to The Hospital for Sick Children in Toronto (1999-2002) were identified using three data sources: the Canadian Hospitals Injury Reporting and Prevention Program Database, the Burn Unit Registry, and the Rehabilitation Services Database. Demographic, clinical, and outcomes data were collected on all children. During the 4-year study period, 27 children presented to the hospital because of a gas fireplace contact burn (approximately 9% of all contact burns). The median age of the children was 14 months (range, 8-36 months), with 16 boys (59%). Most children were burned in their own home. With regard to etiology, 10 children (37%) lost their balance near the fireplace, 2 (7%) walked too close to the glass front, and 8 (30%) touched the glass front out of curiosity. Almost half (44%) of the children burned the palms and digits of both hands. The median total burn surface area was 1% (range, 0.2-2.5%). In total, 30% of children were admitted to hospital, and 11% required skin grafts. All children had full wound closure after 4 to 43 days. Given the etiology of these burns (loss of balance or curiosity), passive prevention, such as barriers or changes in the composition of glass panels, may be the most effective approach to combat them.

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Burn injuries among children in an urban emergency department

Cited by 27 publications

References 0 publications

Nonfatal unintentional injuries in children aged <15 years in Nicaragua

Nonfatal unintentional injuries in children aged <15 years in Nicaragua

Epidemiology and Outcome Analysis of 208 Children With Burns Attending an Emergency Department

Gas Fireplace Contact Burns in Young Children

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