More than 500 children under five are taken to hospital every week because of burns and scalds and the majority of these accidents are due to hot drinks.
Crawlers and toddlers are most at risk.
A hot drink remains hot enough to scald a baby or young child 15 minutes after it has been made.
Burns are particularly serious for small children and babies:
Children don’t yet have the necessary reflexes to swiftly move away from something hot; their skin is up to 15 times thinner than that of an adult and consequently offers less protection. The damage tends to be more severe, because they have a smaller body surface area and so the burn covers a larger proportion of the body. The greater the area covered, the more serious the injury and impact for the child.
Burns and scalds are frightening and the pain and damage caused can be devastating.
Knowing what to do immediately someone is burnt can radically reduce the amount of pain and scarring experienced and can often lead to a full recovery without even needing to be admitted.
The physical and psychological damage from a serious childhood burn, can last well into adulthood.
Basic prevention is key:
- Hot drinks are an obvious cause. Always think carefully before putting your hot drink down and ensure that your little one is unable to reach it.
- Never breastfeed, whilst drinking a hot cup of tea, or pass hot drinks over people’s heads.
- Always have a bath thermometer and check the water carefully before you let your little one get in.
- Always run cold water first and then the hot so that the bottom of the bath is not overheated.
- Never leave a running bath unattended. Ideally have a bath tap / shower attachment with a thermostat installed to prevent the temperature changing mid hair wash if someone else in the house uses a tap!
- Bleach and cleaning chemicals are very strong alkali that can quickly burn; ensure they are safely out of reach.
- A heated towel rail is perfect height for a child to grasp and hot enough to remove their skin. Turn them off whilst your children are little.
- Always use the rear hob on your cooker and turn pan handles away from the edge.
- Fix sturdy cupboard door locks where you store cleaning chemicals and dishwasher tablets (these are extremely corrosive and can cause serious damage).
- Use a kettle with a short or curly flex and keep it very clear of little hands. Keep chairs and stools at the other end of the room so that children are not tempted to climb up to otherwise out of reach areas.
- If microwaving food or milk, thoroughly shake and mix before giving it to your child as microwave heating results in hot spots which can burn.
- Button batteries if swallowed can burn through the child’s oesophagus. Check that they are securely screwed into their toys and be careful of batteries contained within greetings cards.
- Curling tongs, hair straighteners and irons remain incredibly hot for a long time after they have been unplugged. Always keep them and their flex well out of reach.
- Radiators should be encased in a radiator cover.
- Outdoors keep children away from barbeques (even when you’ve finished using them) and be particularly vigilant around bonfires and fireworks.
All BURNS SHOULD BE TREATED IMMEDIATELY WITH COOL RUNNING WATER
- Immediately, but extremely carefully remove loose clothing covering the burn.
DO NOT TAKE CLOTHES OFF IF THERE IS ANY RISK THAT THE SKIN HAS STUCK TO THEM OR IF THE SKIN HAS BLISTERED.
- Put the affected area under cool running water for at least 10 minutes (ideally longer). Remember you are cooling the burn and not the casualty.
- Keep the casualty warm and dry and watch for any signs of shock
- Phone an ambulance, particularly if a large area is affected, or if the skin is broken or blistered and keep the area under cool running water whilst you are waiting for the ambulance to arrive.
A burn is measured using the size of your hand – which is roughly equivalent to 1% of your body. Therefore a burn measuring just the size of a 50 pence or a postage stamp can be very serious for a baby or small child.
Burns to the; hands, face, feet, genitals, airways, or a burn that extends all the way around a limb, are particularly serious.
Keep the burnt area under cool running water until the paramedic arrives.
- Remove anything that has stuck to a burn
- Touch a burn
- Burst blisters
- Apply any creams, lotions or fats
- Apply tight dressings, tapes or use anything fluffy
Always get burns assessed by a medical professional.
Dressing a burn
A burn should never be dressed until it has been cooled for at least 15 minutes. Covering a burn reduces the risk of infection and reduces pain by covering exposed nerve endings.
If a child is burnt and the burn is bad enough that you need to dress it, phone an ambulance and continue to cool the burn under running water. The paramedics will assess and dress it.
Cling film is a good temporary dressing. Ensure the burn is thoroughly cooled before dressing it. Discard the first couple of turns of cling film and place an inner piece loosely over the burn. Plastic bags and sterile non-fluffy dressings also make useful dressings.
It is highly recommended that you attend a practical or online First Aid course to learn how to help in a medical emergency
First Aid for life and onlinefirstaid.com provides this information for guidance and it is not in any way a substitute for medical advice. First Aid for Life is not responsible or liable for any diagnosis made, or actions taken based on this information. The best way to be prepared for action in an emergency is to attend a practical First Aid course.