scald; boiling; hot; tea; coffee; burn; injury; injuries; scalds; home; safety ;
Scalds are burns from hot liquids such as hot water, tea or coffee and by steam. They are a common cause of injury to young children, especially children between 12 and 24 months old. They happen easily and can cause serious problems for a long time if they are bad scalds.
As well as the content of this topic there is more information on these sites:
'Kidsafe' Child Accident Prevention Foundation of Australia. Phone 8161 6318
Raising Children Network
Better Health Channel (Victoria)
Contents of this topic
The most common cause of scalds to young children is hot drinks, either due to children pulling a cup down onto themselves, or having a drink spilled on them while they are being held.
It is most important to make sure your home is as safe as possible to help prevent scalds and burns to young children.
There is a topic about first aid for Burns caused by things other than liquids.
If a child is scalded.
- Quickly take off all the child's clothing. Clothes can hold in the heat and make the scald worse. They can also hide other parts of the skin that may be scalded.
- Immediately put the scalded area in cool water or run cool water on it for at least 20 minutes, or longer. It may help to cuddle the child under a cool shower while the water runs over the scald. Cooling the scald is very important as it prevents the heat from burning into the skin's deeper layers. Do this first, before calling for help if needed (if possible get someone else to call for help while you cool the child's skin).
- Never use ice. Children have been dangerously chilled in baths of iced water. Ice put on scalded skin can cause more damage to the skin.
- Remove anything tight such as bracelets or jewellery. Scalds quickly cause swelling.
- After cooling the skin, if the scald is on the face cover the scald with a clean, damp cotton cloth. On other parts of the body cover the scald with clean plastic wrap, then with a clean damp cotton pillow case or sheet. This will reduce pain and the risk of infection.
- Never use butter, oils, toothpaste, creams or ointments to cover the burn.
Go to a hospital or doctor if the skin is broken or for anything other than a small scald. Infection may change a superficial burn into a deep burn.
- Cups of hot tea or coffee and hot water from electric jugs or kettles are the most common cause of young children having to go to hospital for scalds.
- Scalds from hot water in baths are less common, but usually more serious as the area scalded is often larger and the child may be in the hot water longer.
- How bad the burn is depends on the temperature of the hot water or other liquid and the length of time the hot liquid is on the skin.
- In South Australia, in 2002, 161 children aged 0 to 12 years were admitted hospital emergency departments for treatment of scalds.
a serious scald to happen to a child
|Type of liquid
|Boiling water from a kettle
||under 1 second|
|Cup of hot tea/coffee
||under 1 second|
|Hot water from a tap
|Hot water from a kettle, 5-10 minutes after boiling
|Hot water from a tap with a temperature regulator
children are at more risk
- They like to climb and are naturally curious.
- They can move very fast.
- They don't understand danger.
- They have thinner skin than adults, so their skin burns more deeply in less time.
- When cooking use child safety barriers across the kitchen door or put the child in a play pen away from cooking areas or cords.
- Keep kettles and jugs and teapots away from the edge of bench tops and tables.
- Keep cords to electrical appliances short, or use coiled cords.
- Use the back hot plates on the stove and turn saucepan handles inwards so children cannot see and grab them.
- Use a stove guard.
- Make sure there is free bench space near the stove so you don't have to carry hot pots and dishes across the kitchen.
- Use an oven door lock to prevent children climbing up on the oven door.
- Never leave a bucket of hot water where children can get to it.
- Keep tea cups and mugs away from the edge of benches and tables.
- Never put hot drinks in the cups which children usually drink from.
- Use non-slip place mats instead of table cloths.
- Never drink tea or coffee with a child in your arms or on your lap.
- Never let children sip a hot drink from your cup.
- Always run cold water into the bath first. Remember that in hot weather, water from the cold tap can be very hot as well.
- Always check the temperature of the bath before putting a child into it. Have the bath water at a warm temperature (at about 38º).
- The water from bathroom taps is now often set to come out at 50ºC or less but hot water at this temperature will still cause a scald - you still need to make the bath water cooler by adding cold water. You can get a mixing tap or a device to attach to the tap to mix hot water with cold. Contact a plumber for advice.
- To prevent a child from turning on the hot water tap, cut a slit in the side of a plastic drink bottle, then cover the handle with the bottle, or use child resistant taps/tap covers. Turn off taps tightly.
- Close the bathroom door when it is not in use - don't leave a young child in the bathroom without an adult present.
- Never leave a young child in the care of another child who may turn on the hot water tap.
The information on this site should not be used as an alternative to professional care. If you have a particular problem, see a doctor, or ring the Parent Helpline on 1300 364 100 (local call cost from anywhere in South Australia).
This topic may use 'he' and 'she' in turn - please change to suit your child's sex.