Articles Posted in Burns In Pediatrics

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A California family is coming to Shriner’s Hospital in Sacramento as often as three times a month for treatment of third degree burns they say their baby incurred inside another hospital.

On March 28, 2012, Lylah’s parents, Tiffany Payne and Stanley Quezada, took the baby to Mercy Merced’s emergency room suffering from diarrhea and dehydration. According to Payne, a nurse tried to start an intravenous line, but was unable to do so. They then called a phlebotomist from the pediatric unit to come down and do it. But Quezada says they pricked the baby’s skin a total of 14 times.

The family attorney, Moseley Collins, says in an attempt to try to find the vein, a nurse held a bright light to Lylah’s left palm. However, the nurse did not realize the light was so hot it was causing third degree burns. “It was held up to the baby’s hand for about eight minutes,” Payne said. “She was screaming at the top of her lungs.”

At first, Payne and Quezada thought the nurse used a flashlight. Now they think it is possible the light was one normally used inside a vaginal spectrum device. When used properly inside the spectrum, the light never makes contact with the skin, so it does not cause burns. Mercy Merced Hospital, owned by Dignity Health, did not clarify what the light was, but did say it was “unapproved” for how it might have been used with the baby.

In a May 11 letter to the family attorney, Barbara Van Koll, a Dignity Health area claims manager, wrote this: “The nurses used an unapproved light source to locate a vein.” She went on to add that “since that light source does not get hot on the sides, the nurses were not aware of its potential to get hot and were thus unaware of the burn.” Van Koll’s letter indicated the health care system would reimburse the family for “reasonable expenses.”

Mercy Merced representative Bob McLaughlin also wrote the following: “We take this incident very seriously and have conducted a thorough review of the events. We are working with the family to ensure Lylah’s needs are met.”

Lylah is still suffering pain, as Payne massages and stretches the skin on the baby’s hand wound several times each day. Because of the burn, Lylah has to wear a burn glove for up to two years, and she’ll have permanent scarring. “This little girl will have a damaged left hand for the rest of her life,” said family attorney Collins. “Everyday she’ll get up and look at that hand. This is a case where she should be compensated for what she’s going through.”

In late May, the hospital received notification a potential lawsuit. How long Mercy Merced has to settle the case before a lawsuit is initiated will be up to the family’s attorney.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

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Back in August 2011, a grandmother’s summer holiday at a luxury seaside hotel in Great Britain ended in tragedy when she was scalded to death in a hot bath.

Unfortunately, severe burns from scalding hot water happen too often among children and seniors alike. The worst part is that these incidents are almost always preventable.

Evelyn Cowley, 88 years old, was enjoying her annual family holiday when she took a bath in her hotel room. But for some reason, she immersed herself in water that had a temperature of more than 120 degrees Farenheit. As a result, she suffered third degree burns to half her body, mostly to her lower limbs and her back and arms.

Cowley was no ordinary senior citizen. She was a decorated RAF officer, who served during the Second World War. She died in the hotel room’s bath at some point between saying goodnight to her two sons and breakfast time the next morning. Her son came to wake her in the morning and heard the bathtub water still running, then found her dead in the tub.

The water coming into the tub had been heated in the hotel’s boiler to 140 degrees-which is much too hot for human contact–and the water came out of the tap at around 125 degrees, said a hotel spokesperson. But he added that heating the water to that temperature was a precaution to stop the spread of Legionnaires’ disease–an often deadly form of pneumonia caused by a specific bacteria that grows quickly in stored hot water.

Two days after Cowley’s death, an investigator recorded a temperature 130 degrees from water running from the bath’s tap. He said: “I could only hold my hand under for about two seconds.” The investigation also found that there was not a warning sign for the hot water posted in the bathroom. The hotel did note, however, that this was not a legal requirement.

An autopsy showed Cowley died as a result of extensive burns, which could have been caused as a result of her dementia. The local coroner said: “She died accidentally, and dementia could have caused her misjudgement of immersing herself into the water.”

The coroner also said it was possible that she suffered a mini-stroke when she entered the hot water, but tests were inconclusive.

The lesson here is that seniors and the elderly, as well as children, must be closely monitored when they are going to use hot water to bathe or to cook. It is very easy to spill scalding hot water onto the skin when handling it, and the burns can be so severe that skin graft is necessary to heal the wounds–and death is certainly possible too.

If you or someone you know does suffer an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injury suffered, and if the injured party has a strong legal case.

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A few weeks ago, the Associated Press reported that an explosion in a home in Fairborn, Ohio killed a 75-year-old man and caused debris injuries and severe burns to six others, including four children. The blast was so powerful that it also significantly damaged neighboring homes.

Both the gas and water service were turned off inside the home so repair crews could work on the water line. But the house exploded when the crew apparently hit the gas pipe while doing their work. The explosion sent debris and the victims literally flying through the yard, and a neighbor reported seeing a baby with burns, and bloodied from being hit with flying glass.

That 1-year-old baby was in fair condition while a 5-year-old child was in good condition by the next morning, said a spokesman for Dayton Children’s Medical Center. A third child, whose age wasn’t available, was treated and released the same day. But a 13-year-old was transferred in critical condition to Shriner’s Hospital for Children, one of about four hospitals in the country specializing in pediatric burns.

One neighbor told the local newspaper that the blast, which happened 100 yards from her home, felt like a car hitting the side of her house. Windows shattered on homes on both sides of the destroyed house, and debris could be seen a full block away. The neighbor said she saw the infant lying in the yard, and that some of the other victims were laying there too, and still on fire. “It was like a movie scene. You see a huge fireball and you see people come out of it on fire. It was horrible.”

Another neighbor told the newspaper that she was nearly struck by a flying piece of wood that came from the explosion. A few minutes later, she saw two adults running down the sidewalk carrying three bloodied children, so she offered to take the children while the adults returned to the scene. “Medics told me to keep them awake because they had head injuries, so another woman and I sang to them,” Corelli said. “And we didn’t let the kids look back. It was still on fire and there was a lot of blood.”

A spokesperson for Vectren Corp., the company doing the repairs, said it hadn’t yet been confirmed that there was a gas leak, but that the company would conduct its own investigation into the cause of the explosion. The injured people might file a lawsuit against Vectren and other parties, claiming that they committed negligence which resulted in their severe burns and other injuries.

If you or someone you know does suffer a severe burn injury or a smoke inhalation injury, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a solid legal case.

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In late September, a 13-month-old girl received severe burns from an accident at a Starbucks Coffee shop in Stuart, FL.

According to the local sheriff’s office, witnesses saw the mother of Lourdes Marsh place the infant in a clip-on tabletop chair that had been manually attached to the table. The chair has no legs that touch the ground, and such a chair is meant for children who are about Lourdes’ age. But for some reason, the weight of the child placed into the chair caused the table to fall over, sending a large cup of very hot coffee and another large cup of hot tea onto Lourdes.

Lourdes received second-degree burns to her face and upper torso. Witnesses said that skin was steaming, red, and coming off her body. A fire/rescue spokesman said the burns covered 20 percent of her body. For a child that small, 20 percent is a dangerously large portion of the body. What’s more, blistering of the skin from burns is a dangerous situation–not only does it require immediate professional medical care, but it makes it possible that the child will have permanent scars. While the child was being taken by helicopter to Jackson Memorial Hospital in Miami as a precaution, she was alert, which was a positive sign. And after a few days, Lourdes was recovering at home, although the extent of any permanent scarring will not be know for some time.

It should be noted that Starbucks did not provide the infant seat to the Marsh family. The seat was brought into the Starbucks by Lourdes’ mother. An alert was issued by the Consumer Product Safety Commission, warning parents about potential danger with these seats. So legal liability might rest with the maker of the child seat, although Starbucks could be named in the lawsuit as well, because the table was not able to hold a seat that is made specifically to attach to it. Also, the liquid in the two cups was so hot that it might have been an unreasonable danger.

If you or someone you know suffers a burn injury or a smoke inhalation injury, you should call Kramer & Pollack LLP in Mineola, NY so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a solid legal case.

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Here are just two more examples of families suffering the mental anguish of an injured child because of a single moment of carelessness:

First, a toddler in a home outside Atlanta had to be flown to a burn unit at a hospital in the city after being scalded by a bowl of Ramen noodles she pulled off a table. The Times of Gainesville reported a helicopter took the 14-month-old girl to Grady Memorial Hospital. A county sheriff said the little girl suffered severe burns to her upper chest and abdomen, but that she’s expected to survive.

The sheriff added the girl was being cared for by a babysitter at the home when the incident happened around lunchtime. The family might now investigate whether the babysitter has legal liability for the toddler’s injuries.

In a second incident, a 5-year-old boy in a town outside Seattle went to a local hospital in critical condition after suffering severe burns while playing with fingernail-polish remover and a lighter. The boy suffered burns over 30 percent of his body and was taken to Harborview Medical Center in Seattle.

The boy’s mother was home with him at the time of the accident and called 911. Police, fire, and medic crews from two counties responded to the apartment. It is not known how the boy managed to find a lighter while his mother was at home with him. But her mental anguish will probably take much longer to heal than her son’s injuries.

In short: Children must be watched closely at all times, because it only takes a second or two for them to get into situations where they can be start a fire or get burned severely.

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One of the most common causes of hospital admission of pediatric patients is burns. Most pediatric burns occur at home. The most common cause of burns in young children is exposure to hot liquids (scald injury) such as hot water. Contact with hot objects is the second most common cause of burn in young children. Pediatric burns differ from adult burns in many aspects.

Their skin is more sensitive and less resistant to heat and because it is harder for them to escape from the burning object, this may lead to longer exposure which may increase the burn severity.

Pediatrics have a smaller body size than adults with a greater body surface area in relation to their weight. Fluid loss is proportionally greater in young children when compared to the same percentage of burn in adults because of their smaller circulating volume and different distribution of body fluids leading to more rapid onset of fluid and electrolyte disturbance and imbalance. Therefore pediatrics especially infants develop hypovolemic shock faster and fluid replacement should be started as soon as possible which is calculated according to certain formulas.

Small children are at a greater risk to have a decrease in body temperature (hypothermia) due to the insufficiency of their thermoregulatory system, they are less tolerant to changes in temperature (see regulation of body temperature).

In case there is a burn to the genital area and the child is still wearing diapers, special attention should be taken as the burned area may be contaminated easily making it more susceptible for infection.

Pediatric patients with burns are harder to cannulate (insert a cannula) than adults and the smaller the child is the harder it is. Airway intubation is also harder in pediatrics than adults and the smaller the child is, the harder it is to intubate especially after burns that affect the airways. That is why trachiostomy is sometimes needed.

One of the things that differentiate small children from adults is the inability of small children to speak and express what they feel. The parents play a major role in this case because they know their child better than anyone else and know when there is something wrong with him/her. Therefore when your child is to be discharged you have to make sure that your child is feeling well.

Prevention of scald burns:

  • Water heater thermostat should not be set higher than 120 degrees.
  • Bathtub water should be checked before putting the child in the tub.
  • Never leave the child in the bathtub alone as he/she might turn on the facet or the water may become too hot and lead to scaled injury.
  • Keep hot liquids out of the reach of children like turning pot handles on the stove out of the reach of children.
  • Avoid carrying hot object while carrying the child.

According to the Consumer Product Safety Commission a child exposed to hot tap water of 140 degree for three seconds develops a third degree burn.

According to the National Center for Health Statistics between 2001 and 2005, each year approximately 116,600 children are treated for fire/burn injuries. Fires and burns are the third leading cause of unintentional death among children aged 1-14 years in 2004.

This information is not intended nor implied to be a substitute for professional medical advice; it should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Call 911 for all medical emergencies.