more green tea vicar?
TRANSCRIPT
Mohsen Rezaeian*
Social Medicine Department,
Occupational Environmental Research Center,
Rafsanjan Medical School,
Rafsanjan University of Medical Sciences,
Rafsanjan, Iran
*Tel.: +98 03915234003; fax: +98 03915225209
E-mail address: [email protected]
(M. Rezaeian)
[2] Jamnadas-Khoda B. How would you like your tea, vicar?Burns 2010;36(May (3)):356–9.
[3] Warner RM. Cooling properties of everyday liquids. Burns2012;38(December (8)):1186–91.
Neil Chotai*
Katy Edmonds
Baljit Dheansa
McIndoe Burns Centre, Queen Victoria Hospital,
East Grinstead RH19 3DZ, UK
*Corresponding author. Tel.: +44 07891230413
b u r n s 3 9 ( 2 0 1 3 ) 1 4 9 2 – 1 4 9 91498
0305-4179/$36.00.
# 2013 Elsevier Ltd and ISBI. All rights reserved.
http://dx.doi.org/10.1016/j.burns.2013.05.003
Letter to the Editor
More green tea vicar?
Dear Editor,
We feel that the trend of increased green tea consumption in
the UK needs to be considered when assessing a scald injury.
Scalds are the most common cause of paediatric burn [1]. Tea
brewed with milk has a starting temperature of 75 8C and cools
significantly in 10 min [2]. In comparison tea brewed without
milk remains at a higher temperature when left to stand.
Therefore specialty teas, such as green tea where milk is
not added, can be assumed to be capable of causing a serious
burn within seconds of exposure [3].
In our unit we have seen several cases of full-thickness
scald burns caused by the spillage of green tea. It is our opinion
that the increased consumption of green tea may lead to an
increase in severity of presentation of scald burns in children.
We feel it is essential to remind burns staff to enquire about
the brew of tea and if milk was added, in addition to noting
when the tea was made. This will have a significant bearing on
the management of the burn. We recommend such cases need
more careful evaluation and consideration of Laser Doppler
imaging to look for deeper burn areas.
Conflicts of interest
There are no conflicts of interest for the authors of this letter.
r e f e r e n c e s
[1] Guzel A. Scalds in pediatric emergency department: a 5-yearexperience. J Burn Care Res 2009;30(June (3)):450–6.
DOI of original article: 10.1016/j.burns.2009.04.024
E-mail address: [email protected] (N. Chotai)
0305-4179/$36.00.
# 2013 Elsevier Ltd and ISBI. All rights reserved.
http://dx.doi.org/10.1016/j.burns.2013.05.014
Letter to the Editor
The lynx effect?
Sir,
We would like to bring your attention to the dangers of
inappropriate use of deodorant and antiperspirants with
respect to an unusual case of burns sustained to both feet.
A 43 year old gentleman sustained superficial dermal burns
to both feet after spraying deodorant into his shoes. He was
first aware of discomfort several hours later on a shopping trip
and was in significant pain 8 h later.
He presented to our burns unit with bilateral superficial to
mid dermal burn wounds to both feet. He was admitted
overnight for analgesia and non-adherent dressings to the
feet. He denied direct spraying onto the feet but rather onto his
socks and shoes (see Figs. 1 and 2).
There are three references to deodorant burns in the
literature although there are more reported in the national
media with significant injuries and self-inflicted burns from
Fig. 1 – AP view of the contact burn on the foot.