title: Outdoor recreational fires: a review of 329 adult and pediatric patients.
abstract: Outdoor recreational fires are a frequent occurrence during the summer months and can be associated with burns resulting in significant morbidity. Both pediatric and adult populations can be affected, and their mechanism of injury is often different. Understanding these mechanisms is important when designing prevention programs. It is the goal of this study to review our experience with outdoor recreational fires. All patients who presented to Spectrum Health Blodgett Regional Burn Unit for burns secondary to an outdoor recreational fire over an 8-year period were reviewed. Demographic data, mechanism of injury, body area involved, TBSA burned, treatments undertaken, and subsequent complications were recorded. Pediatric patients (aged 16 years and younger) were analyzed independently, and risk factors were determined. A total of 329 patients suffered burns secondary to outdoor recreational fires over the length of the study. More than 35% required inpatient treatment, with an average length of stay of 4.8 days. Hands were the most frequently affected body part, with the mean TBSA involved being 3.5%. Ninety-four patients (28.6%) required split-thickness skin grafting. The most common mechanism of injury in both adult and pediatric populations was falling into an ongoing fire. Wound infection was the most common complication. Alcohol intoxication was associated with a higher burn severity and complication rate. Pediatric patients represented 39.8% of the sample. Burns secondary to outdoor recreational fires are associated with significant morbidity. Adult prevention programs should target awareness with respect to alcohol consumption and campfires secondary to the morbidity associated with these injuries. Pediatric patients are particularly susceptible, and parents should remain diligent about campfire safety and be educated about the inherent dangers of both active and extinguished fires.
authors.affiliation: Grand Rapids Medical Education and Research Center, Michigan State University General Surgery Residency, Grand Rapids, Michigan, USA.
authors.forename: Keith C
authors.initials: KC
authors.lastname: Neaman
authors.forename: Viet H
authors.initials: VH
authors.lastname: Do
authors.forename: Emily K
authors.initials: EK
authors.lastname: Olenzek
authors.forename: Marissa
authors.initials: M
authors.lastname: Baca
authors.forename: Ronald D
authors.initials: RD
authors.lastname: Ford
authors.forename: Richard M
authors.initials: RM
authors.lastname: Wilcox
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000435:Alcoholic Intoxication / Q000150:complications; D002053:Burn Units; D002056:Burns / Q000150:complications / Q000453:epidemiology* / Q000209:etiology* / Q000517:prevention & control; D002648:Child; D002675:Child, Preschool; D005390:Fires; D006801:Humans; D007223:Infant; D015601:Injury Severity Score; D007902:Length of Stay / Q000706:statistics & numerical data; D008824:Michigan / Q000453:epidemiology; D008875:Middle Aged; D011998:Recreation; D012189:Retrospective Studies; D012307:Risk Factors; D012621:Seasons