More green tea vicar?

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<ul><li><p>Mohsen Rezaeian*</p><p>Social Medicine Department,</p><p>Occupational Environmental Research Center,</p><p>Rafsanjan Medical School,</p><p>Rafsanjan University of Medical Sciences,</p><p>Rafsanjan, Iran</p><p>*Tel.: +98 03915234003; fax: +98 03915225209</p><p>E-mail address:</p><p>(M. Rezaeian)</p><p>[2] Jamnadas-Khoda B. How would you like your tea, vicar?Burns 2010;36(May (3)):3569.</p><p>[3] Warner RM. Cooling properties of everyday liquids. Burns2012;38(December (8)):118691.</p><p>Neil Chotai*</p><p>Katy Edmonds</p><p>Baljit Dheansa</p><p>McIndoe Burns Centre, Queen Victoria Hospital,</p><p>East Grinstead RH19 3DZ, UK</p><p>*Corresponding author. Tel.: +44 07891230413</p><p>b u r n s 3 9 ( 2 0 1 3 ) 1 4 9 2 1 4 9 914980305-4179/$36.00.</p><p># 2013 Elsevier Ltd and ISBI. All rights reserved.</p><p></p><p>Letter to the Editor</p><p>More green tea vicar?</p><p>Dear Editor,</p><p>We feel that the trend of increased green tea consumption in</p><p>the UK needs to be considered when assessing a scald injury.</p><p>Scalds are the most common cause of paediatric burn [1]. Tea</p><p>brewed with milk has a starting temperature of 75 8C and coolssignificantly in 10 min [2]. In comparison tea brewed without</p><p>milk remains at a higher temperature when left to stand.</p><p>Therefore specialty teas, such as green tea where milk is</p><p>not added, can be assumed to be capable of causing a serious</p><p>burn within seconds of exposure [3].</p><p>In our unit we have seen several cases of full-thickness</p><p>scald burns caused by the spillage of green tea. It is our opinion</p><p>that the increased consumption of green tea may lead to an</p><p>increase in severity of presentation of scald burns in children.</p><p>We feel it is essential to remind burns staff to enquire about</p><p>the brew of tea and if milk was added, in addition to noting</p><p>when the tea was made. This will have a significant bearing on</p><p>the management of the burn. We recommend such cases need</p><p>more careful evaluation and consideration of Laser Doppler</p><p>imaging to look for deeper burn areas.</p><p>Conflicts of interest</p><p>There are no conflicts of interest for the authors of this letter.</p><p>r e f e r e n c e s</p><p>[1] Guzel A. Scalds in pediatric emergency department: a 5-yearexperience. J Burn Care Res 2009;30(June (3)):4506.</p><p>DOI of original article: 10.1016/j.burns.2009.04.024E-mail address: (N. Chotai)</p><p>0305-4179/$36.00.</p><p># 2013 Elsevier Ltd and ISBI. All rights reserved.</p><p></p><p>Letter to the Editor</p><p>The lynx effect?</p><p>Sir,</p><p>We would like to bring your attention to the dangers of</p><p>inappropriate use of deodorant and antiperspirants with</p><p>respect to an unusual case of burns sustained to both feet.</p><p>A 43 year old gentleman sustained superficial dermal burns</p><p>to both feet after spraying deodorant into his shoes. He was</p><p>first aware of discomfort several hours later on a shopping trip</p><p>and was in significant pain 8 h later.</p><p>He presented to our burns unit with bilateral superficial to</p><p>mid dermal burn wounds to both feet. He was admitted</p><p>overnight for analgesia and non-adherent dressings to the</p><p>feet. He denied direct spraying onto the feet but rather onto his</p><p>socks and shoes (see Figs. 1 and 2).</p><p>There are three references to deodorant burns in the</p><p>literature although there are more reported in the national</p><p>media with significant injuries and self-inflicted burns fromFig. 1 AP view of the contact burn on the foot.</p><p>;domain=pdf;domain=pdf;domain=pdf;domain=pdf;domain=pdf;domain=pdf;domain=pdf;domain=pdf;domain=pdf;domain=pdf;domain=pdf;domain=pdf</p><p>Comments on Fixation of proseal laryngeal mask airway in a child with facial burns.ReferencesConflict of interestReferences</p><p>A meta-analysis of trials using the intention-to-treat principle for glutamine supplementation in critically ill patients with burnsConflict of interestReferences</p><p>Response to Letter to the Editor: A meta-analysis of trials using the intention to treat principle for glutamine supplementation in critically ill patients with burnReferenceConflicts of interestReference</p><p>Adequate specialised burn care services are essential at major trauma centresConflict of interest statementReferences</p><p>Suicidal, homicidal and non-intentional immolationsReferencesConflicts of interestReferences</p><p>The lynx effect?Conflict of interestReferences</p></li></ul>