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ARTICLE |

Scald Burns From Hot Tap Water FREE

Murray L. Katcher, MD, PhD
[+] Author Affiliations

Reprint requests to Department of Pediatrics, University of Wisconsin Clinical Sciences Center, 600 Highland Ave H6/446, Madison, WI 53792 (Dr Katcher).


JAMA. 1981;246(11):1219-1222. doi:10.1001/jama.1981.03320110031022
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Hot tap water is a common source of household burn injury. The charts of all patients hospitalized for tap water scalds in Dane County, Wisconsin, during a ten-year period were reviewed. Of 33 patients, 29 (88%) had readily identifiable risk factors: 17 (52%) were children younger than 5 years; three (9%) were older than 65 years; ten (30%) were physically or mentally disabled. One additional person was burned in a nonhome environment. Of the five deaths, three occurred in children younger than 30 months, and two occurred in patients older than 70 years. Almost all of these injuries could have been prevented by lowering the temperature of the household water heater to below 54.4 °C (130 °F) and preferably between 48.9 and 51.7 °C (120 to 125 °F). Physicians can play an important role in the prevention of this type of injury.

(JAMA 1981;246:1219-1222)

REFERENCES

Montgomery BJ:  Consensus for treatment of `the sickest patients you'll ever see,' MEDICAL NEWS . JAMA 1979;;241:345-346.
Skoog T: The Surgical Treatment of Burns . Stockholm, Almqvist and Wiksells, 1963;.
Nicholls CA: Accidents and injuries involving scald burns from tap water sources . (Contained in CPSC memorandum of (Oct 20) , 1978, staff briefing packet on petition CP 78-15, tap water scalds.) Washington, DC, US Consumer Product Safety Commission, September 1978;.
Moritz AR, Henriques FC Jr:  Studies of thermal injury: II. The relative importance of time and surface temperature in the causation of cutaneous burns . Am J Pathol 1947;;23:695-720.
Feldman KW, Schaller RT, Feldman JA, et al:  Tap water scald burns in children . Pediatrics 1978;;62:1-7.
Baptiste MS, Feck G:  Preventing tap water burns . Am J Public Health 1980;;70:727-729.
Feldman KW, Clarren SK, McLaughlin JF:  Tap water burns in handicapped children . Pediatrics 1981;;67:560-562.
McNeese MC, Hebelen JR:  The abused child . Clin Symp 1977;;29( (5) ):4.
Lipson EH, Katcher ML:  Infectious causes of croup syndrome . Fam Pract Recert December 1980;;2:23-34.
Hot tub soaks may be hazardous , CPSC Memo. Washington, DC, US Consumer Product Safety Commission, October 1979;, p 5.
Wilson RP Jr, Lee WD, Ashley LE: The Feasibility of Lowering Water Heater Temperatures as a Means of Reducing Scald Hazards , No. CPSC-Q-76-241, ADL 79708. Cambridge, Mass, AD Little Inc, 1977;.
Muller JG:  The potential for energy savings through reductions in hot water consumption . Read before the Conference on Water Conservation and Sewage Flow Reduction With Water Saving Devices, Washington, DC, April 1975 . (Contained in CPSC memorandum of (Oct 20) , 1978;, staff briefing packet on petition CP 78-15, tap water scalds.)
Schwartz AM: Household cleaning and dishwashing at reduced water supply temperatures . Report to the Building Safety Section, National Bureau of Standards. July 1976. (Contained in CPSC memorandum of (Oct 20) , 1978;, staff briefing packet on petition CP 78-15, tap water scalds.)
Kaneko TM, Compton JW:  Low temperature home machine dishwashing . Soap Cosmet Chemical Specialties , (August) 1978;, pp 46-51.
Reduction of tap water scalds: A petition by Seattle City Light . Washington, DC, US Consumer Product Safety Commission, CP 78-15, (July) 1978;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Montgomery BJ:  Consensus for treatment of `the sickest patients you'll ever see,' MEDICAL NEWS . JAMA 1979;;241:345-346.
Skoog T: The Surgical Treatment of Burns . Stockholm, Almqvist and Wiksells, 1963;.
Nicholls CA: Accidents and injuries involving scald burns from tap water sources . (Contained in CPSC memorandum of (Oct 20) , 1978, staff briefing packet on petition CP 78-15, tap water scalds.) Washington, DC, US Consumer Product Safety Commission, September 1978;.
Moritz AR, Henriques FC Jr:  Studies of thermal injury: II. The relative importance of time and surface temperature in the causation of cutaneous burns . Am J Pathol 1947;;23:695-720.
Feldman KW, Schaller RT, Feldman JA, et al:  Tap water scald burns in children . Pediatrics 1978;;62:1-7.
Baptiste MS, Feck G:  Preventing tap water burns . Am J Public Health 1980;;70:727-729.
Feldman KW, Clarren SK, McLaughlin JF:  Tap water burns in handicapped children . Pediatrics 1981;;67:560-562.
McNeese MC, Hebelen JR:  The abused child . Clin Symp 1977;;29( (5) ):4.
Lipson EH, Katcher ML:  Infectious causes of croup syndrome . Fam Pract Recert December 1980;;2:23-34.
Hot tub soaks may be hazardous , CPSC Memo. Washington, DC, US Consumer Product Safety Commission, October 1979;, p 5.
Wilson RP Jr, Lee WD, Ashley LE: The Feasibility of Lowering Water Heater Temperatures as a Means of Reducing Scald Hazards , No. CPSC-Q-76-241, ADL 79708. Cambridge, Mass, AD Little Inc, 1977;.
Muller JG:  The potential for energy savings through reductions in hot water consumption . Read before the Conference on Water Conservation and Sewage Flow Reduction With Water Saving Devices, Washington, DC, April 1975 . (Contained in CPSC memorandum of (Oct 20) , 1978;, staff briefing packet on petition CP 78-15, tap water scalds.)
Schwartz AM: Household cleaning and dishwashing at reduced water supply temperatures . Report to the Building Safety Section, National Bureau of Standards. July 1976. (Contained in CPSC memorandum of (Oct 20) , 1978;, staff briefing packet on petition CP 78-15, tap water scalds.)
Kaneko TM, Compton JW:  Low temperature home machine dishwashing . Soap Cosmet Chemical Specialties , (August) 1978;, pp 46-51.
Reduction of tap water scalds: A petition by Seattle City Light . Washington, DC, US Consumer Product Safety Commission, CP 78-15, (July) 1978;.
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