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Scald Prevention. American Burn Association Burn Prevention Committee. Scald Prevention. The following questions will be addressed: Who are the victims of scald burns? How do scald injuries occur? How can scald injuries be prevented? What are the appropriate first aid responses?.
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Scald Prevention American Burn Association Burn Prevention Committee
Scald Prevention • The following questions will be addressed: • Who are the victims of scald burns? • How do scald injuries occur? • How can scald injuries be prevented? • What are the appropriate first aid responses?
Scald Prevention Objectives • Describe the severity of a scald burn injury • List the major causes of scald burn injury • Demonstrate initial understanding of appropriate first aid for a scald burn • List and identify scald burn injuries by age and group • List scald burn prevention strategies
What is a Scald? • Scalds result from the destruction of one or more layers of the skin due to contact with hot liquid or steam
Scald Prevention • 1.5 - 2 million burns occur annually in the US and Canada • Scalds account for 75% of all burns in children under 4 years of age
Scalds - High Risk Groups • Elderly • People with physical or mental challenges
Scald Prevention - Young Children • Nearly 24,000 children are treated in hospital emergency departments every year for scald injuries* • Skin is thinner - results in deeper burns • lower temperature • shorter contact *Source: National SAFE KIDS
Scald Prevention - Young Children • Have little control over their environment • Less perception of danger • Lack ability to escape a burning situation on their own
Scald Prevention - Older Adults • Have thinner skin • Decreased ability to feel heat due to medical conditions or medications • Prone to falls in the bathtub, shower or while carrying hot liquids
Scald Prevention - Special Needs • Mobility impairments • slow or awkward movements • muscle weakness • fatigue • slower reflexes • Increased risk of spills while moving hot liquids • Decreased ability to remove themselves from hot tap water
Scald Prevention - Special Needs • Sensory impairments • inability to feel heat • Changes in intellect, perception, memory, judgement or awareness may hinder a person’s ability to recognize a dangerous situation
Scald Prevention • Most injuries occur in two specific areas of the home • kitchen • bathroom
Scald Prevention • Functions of skin • Protection • Prevention • Regulation • Sensation
Superficial (first degree) burns Causes: sunburn, minor scalds heals in 3-5 days with no scarring Characteristics minor damage to the skin pink to red painful skin is dry without blisters Burn Characteristics
Partial thickness (second degree) burns damages, but does not destroy, top two layers of skin heals in 10-21 days Characteristics skin: moist, wet and weepy blisters present bright pink to red Burn Characteristics
Full thickness (third degree) burns destroys all layers of the skin may involve fat, muscle or bone will require skin grafts Characteristics bright red dry - no blisters waxy white tan or brown insensate Burn Characteristics
Emergency Burn Care • Primary Survey • Airway • Breathing • Circulation • Secondary Survey • head-to-toe
Emergency Burn Care • History • Immediate measures to save a life • Cool • Cover • Carry
Scald Burn - Causes • Tap water • Food and hot beverages • Steam
Scalds - Kitchen Hazards • Pots and pans • Microwave ovens • Hot liquids • Coffee • Baby bottles
Food and Beverage Related Scalds These cooking methods can cause serious burns in less than 1 second
Scalds - Bathroom Hazards • Hot water heater settings • Unsupervised child
Scald Prevention - Bathroom • Reduction of hot water heater temperature • Install tempering or anti-scald devices • Never leave a child unattended • Turn valve off in the “cold” position
Scald Prevention - Hot Water Heater • Turn water heater down to 120o F. or 48o C. • Always run cold water first, then add hot water • Always supervise children in the bathroom
Scald Prevention - Kitchen • Pots and pans • turn handles back away from the stove edge • Microwave • stir and test foods before serving • do not use to heat baby bottles • Cooking appliances • cords coiled and away from counter edge
Scald Prevention - Hot Liquids • Establish a safety zone around cooking appliances • Use non-slip placemats instead of tablecloths • Do not place hot liquids on low tables • Supervise children at all times
Scald Prevention - Hot Liquids • Never let children carry containers of hot liquids • Never hold a child while working next to a stove or other cooking appliance • coffee pot, fry pan, microwave oven, etc.