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Ashes to Ashes: Thermal Contact Burns in Children Caused by Recreational Fires

Submission Number 673
Submitted By Jerome Nsajju
Submitted On Thursday, July 9th, 2009 @ 07:58:19 PDT -0700
Last Updated By Robert Taylor
Last Updated On Friday, November 13th, 2009 @ 13:39:54 PST -0800
Record Status Approved
Approved By Josephine Walsh-Mahaux
Visit Journal Web Site www.burnsjournal.com
Article Publication Year 2008
Author And
Journal Reference
Division of Paediatric Surgery, Red Cross War Memorial Children's Hospital, University of Cape Town, South Africa
  T Cahill
  H Rode 
  A Millar

Burns; 2008, Vol. 34, No. 8, Pgs 1153-57
Related Countries South Africa
Cause Of Injury X00-X09
Nature Of Injury T20-T32
Abstract Recreational open fires are an important and preventable cause of burn. In contrast to adults, who often sustain flame burns, children are at higher risk of thermal contact burns caused by hot embers many hours after the fire was first lit. Cases of thermal contact injury in children due to recreational fires were reviewed and the potential of a small charcoal fire to cause burns over a prolonged period was tested.

Between 1993 and 2007, 67 children were admitted for treatment, with a median age of 1.6 years. Total burn surface area ranged from 0.5% to 19.5% (median 4%) with burns most commonly affecting the hands and feet. The average length of stay was 7 days and a total of 81 surgical procedures were carried out. Injury was most commonly sustained after falling into (40%), or accidentally crawling or walking on (30%), the remnants of an unextinguished fire. Small charcoal fires retain sufficient heat to cause injury at least 16h after lighting. Strategies for prevention of these injuries are outlined.
Additional Keywords Hot coals, Ash

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