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Implications for practice

Intentional and unintentional scalds

  • A detailed history of the events immediately prior to, and the scene of, the injury must be taken for all children with scalds
  • If doubt remains, consideration must be made of the scene of injury assessment, including measurement of tap water temperature and height and location of scalding source
  • In evaluating the plausibility of the burn mechanism, it is essential to determine if the burn is compatible with the child’s developmental stage
  • This triage tool is based on current published evidence; a prospective study is required to fully validate the criteria


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