title: Tweens feel the burn: "salt and ice challenge" burns.
abstract: OBJECTIVE
  To review our institution's experience with frostbite injury secondary to "salt and ice challenge" (SIC) participation.
  
  
  METHODS
  We conducted a retrospective analysis of intentional freezing burns from 2012 to 2014. Demographics, depth and location of burn, total body surface area of burn, treatment, time to wound healing, length of stay, complications, and motives behind participation were analyzed.
  
  
  RESULTS
  Five patients were seen in the emergency department for intentional freezing burns that resulted from SIC (all females; mean age: 12.3 years; range age: 10.0-13.2 years). Mean total body surface area was 0.408%. Salt and ice was in contact with skin for >10 min for two patients, >20 min for two patients, and an unknown duration for one patient. Complications included pain and burn scar dyschromia. Four patients cited peer pressure and desire to replicate SIC as seen on the Internet as their motivation in attempting the challenge.
  
  
  CONCLUSIONS
  SIC has become a popular, self-harming behavior among youths. Increased public education, and provider and parent awareness of SIC are essential to address this public health concern.
authors.forename: Lauren O
authors.initials: LO
authors.lastname: Roussel
authors.forename: Derek E
authors.initials: DE
authors.lastname: Bell
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D002056:Burns; D002057:Burns, Chemical / Q000523:psychology*; D002648:Child; D005260:Female; D005615:Freezing; D005627:Frostbite / Q000523:psychology*; D006801:Humans; D007053:Ice / Q000009:adverse effects; D007902:Length of Stay; D009042:Motivation; D010379:Peer Group; D012189:Retrospective Studies; D012492:Salts / Q000009:adverse effects; D016728:Self-Injurious Behavior / Q000523:psychology*; D061108:Social Media; D014945:Wound Healing
chemical_list: D007053:Ice; D012492:Salts