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Hot drinks scald toddlers: five habits and the 20-minute rule

Scalds cause 52% of child burns, and the cup of tea in your hand can be enough. Five habits that stop it, and the 20-minute first aid rule.

Scalds cause 52% of burns to Australian children, and the typical child burned is 3. About 2,000 children a year are hospitalised with burns, and half of them are aged 1–4. A hot drink is a common cause: pulled off a table by the tablecloth, knocked from a hand, or grabbed off a low coffee table. Toddler skin is thinner than ours, so a drink cool enough for an adult to sip can still burn it deeply.

Five habits

  1. Put the drink down before you pick up a child, and never hold both.
  2. Keep cups in the middle of tables and benches, away from edges and away from tablecloths a child can pull.
  3. Use a cup with a lid when little ones are around.
  4. Keep kettle and appliance cords coiled back from bench edges.
  5. Turn pot handles inward and use the back burners.

First aid: 20 minutes of cool running water

Cool running water for 20 minutes. Then call for help.
  1. Hold the burn under cool (not icy) running tap water for a full 20 minutes. It still helps up to three hours after the burn.
  2. Remove clothing and jewellery near the burn, unless it is stuck to the skin.
  3. Cover it loosely with cling wrap or a clean, damp cloth.
  4. Keep the rest of the child warm.
  5. Call 000 for a large burn, or any burn to the face, hands, feet, genitals or airway. See a doctor for any burn to a baby.

No ice, butter, toothpaste or creams. They trap heat or damage the skin.

Hot water at the tap

Bath water burns too. Australian plumbing rules cap new bathroom hot water at 50°C. In an older house, ask a plumber to fit a temperature-limiting valve. Run the cold first, then the hot, and test the water with your elbow.

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