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Title: Pediatric Electrical Burns

Category: Pediatrics

Posted: 12/25/2009 by Rose Chasm, MD

After seeing all the electrical and extension cords supplying various seasonal holiday decorations, I thought this would be appropriate.

  • most commonly occurs once children establish a grasp at 4months and 4 years when children finally learn not to touch cords, but most common from 1-2 years
  • not surprisingly, more common in boys (60%)
  • moist oral cavity creates a short circuit and electric arc which produces enough heat (up to 1371C/2500F) to cause a low-voltage electric burn
  • 5% may suffer cardiac/respiratory arest
  • electrical mouth burns result in significant soft tissue damage which forms an eschar
  • beware sloughing of the nonviable eschar from the underlying viable tissue around week 2, that results in labial artery hemmorhage

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