Pediatrics



Dermatology Family Medicine Internal Medicine, General



Pediatrics


Dermatology

Burns

According to the latest data available from the National SAFE KIDS Campaign, consider the following statistics:

Accidental, or unintentional, injury is the leading cause of death among children, teens, and young adults.
Leading causes of accidental injury at home are burns, drowning, suffocation, choking, poisonings, falls, and firearms.
Burns are the tenth most common cause of accidental death in children, and account for nearly 3,400 adult and child deaths per year.
Nearly 75 percent of all scalding burns in children are preventable.
Nearly 2,900 adults and children die every year in fires, or from other burn injuries.
Toddlers and children are more often burned by a scalding or flames.
The majority of children ages 4 and under, who are hospitalized for burn-related injuries, suffer from scalds burns (65 percent) or contact burns (20 percent).
Hot tap water burns cause more deaths and hospitalizations than burns from any other hot liquids.

Age	Most Common Injury Type	Risk Factors
< 5 Years	Flame	Playing with matches, cigarette lighters, fires in fireplaces, barbecue pits, and trash fires.
	Scald	Kitchen injury from tipping scalding liquids. Bathtub scalds often associated with lack of supervision or child abuse. Greatest number of pediatric burn patients are infants and toddlers younger than 3 years of age burned by scalding liquids.
5 to 10 Years	Flame	Male children are at an increased risk often due to fire play and risk-taking behaviors.
	Scald	Female children are at increased risk, with most burns occurring in the kitchen or bathroom.
Adolescent	Flame	Injury associated with male peer-group activities involving gasoline, or other flammable products.
	Electrical	Occurs most often in male adolescents involved in dare-type behaviors, such as climbing utility poles or antennas. In rural areas, burns may be caused by moving irrigation pipes that touch an electrical source.

During the last 30 years, burn injuries have decreased for the following reasons:
- Increased use of smoke detectors.
- The flammability of consumer products, such as toys and pajamas, is federally regulated.
- The US government monitors safety in the workplace.
- A greater national emphasis is placed on burn injury prevention and fire safety.
- A decrease in smoking helps prevent burn injuries.
- New water heaters in homes and in public areas are now preset at lower temperatures to reduce scald injuries.
- There are fewer open fires.

Heat and cold injuries:

Children are much more vulnerable to changes in the temperature of the environment because they produce and lose heat faster than adults. Because they are so often busy playing and having fun, children tend to pay less attention to when they are becoming too hot or too cold until problems occur. It is important for you to protect your child from the sun and from heat and cold exposures that may cause them illness or injury. Knowing what to do in case a burn or thermal injury occurs can help prevent a medical emergency.

Caring for a heat-induced or thermal burn:

Remove the child from the heat source.
Cool the affected area with cold water or cold compresses until pain is reduced or alleviated.
If a blister has formed, do not break it.
Protect the burn with a dry, sterile, gauze bandage or with a clean bed sheet or cloth.
If your child's clothing is stuck to the burned area, do not attempt to remove it. Instead, cut around the clothing leaving the burn intact.
Do not apply any ointments, oils, or sprays to the burned area.
If the burn is serious, seek medical attention or dial 911 for emergency medical attention.

Caring for an electrical burn:

Call or send someone to call 911 for emergency medical assistance. Significant electrical injuries will need medical care.
Unplug the appliance or device that has caused the injury or turn off the electrical current.
If the child is in contact with the electrical current do not touch them until you turn off the source or the circuit breaker.
Determine that the child is still breathing. If the child is not breathing, begin cardiopulmonary resuscitation (CPR).
Cover the burned area with a sterile gauze bandage or clean bed sheet.
Maintain your child's normal body temperature, and take the child to an emergency center.
Be aware that a child may experience "shock" after an electrical burn. If your child is showing signs of shock, send someone to call 911 immediately.
Do not give your child anything to eat or drink.
Place the child on his/her back, unless a neck or back injury is suspected.
If the child has vomited or has a serious injury to the face or mouth area, you may lay the child on his/her side.
Keep your child warm with blankets or extra clothing, but do not use a heat source to warm them.
Elevate your child's feet and legs, using a prop or pillow.

What are the symptoms of shock?

The following are the most common symptoms of shock. However, each child may experience symptoms differently. Symptoms of shock may include:

cold sweat
weakness
irregular breathing
chills
pale or blue-colored lips
pale or blue-colored fingernails
a fast, but weak pulse
nausea

The symptoms may resemble other conditions or medical problems. Consult your child's physician immediately for diagnosis and treatment.

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Skin Conditions Common Childhood Illness and Concerns Burns