Treatment of Paediatric Hand and Foot Burns; Literature Review and State-wide Burn Service Analysis

Wiktor Pilch1, Rebecca Schrale1, Andrew Castley1, Fiona Orr1,
1Tasmanian Burns Unit, Hobart, Tasmania, Australia


Burns are a significant cause of morbidity and mortality among children. Understanding the unique aspects of burns affecting the soles of feet and palms is crucial for effective prevention and treatment strategies.
This presentation examines the incidence, characteristics, management, and outcomes of burns in our state-wide paediatric population, with a specific focus on burns occurring on the soles of feet and palms.
The study draws on available data from both paediatric inpatient and outpatient data reviewed within the statewide burns service. A comprehensive review of literature, data, and clinical studies was undertaken.
The incidence of burns on the soles of feet and palms in children is found to be relatively high, primarily attributed to contact with hot surfaces, scalds, and chemical exposures.
The characteristics of these burns often differ from other types of burns due to the unique anatomical features and functional requirements of the soles of feet and palms.
The study examines the various factors influencing burn severity; including age, socioeconomic background, and geographical location. It also discusses the challenges associated with accurate assessment, pain management, and long-term complications of burns in these specific anatomical areas.
Furthermore, we review the current management approaches and emphasise the importance of a multidisciplinary team involving paediatricians, burn specialists, occupational therapists, and psychologists to optimise treatment outcomes. Preventive measures such as education, home safety interventions, and appropriate footwear choices are also highlighted.
The analysis of available data indicates that burns on the soles of feet and palms in the paediatric population can lead to substantial physical, psychological, and social burdens.
The presentation underscores the need for continued research, public awareness campaigns, and policy initiatives to reduce the incidence of these burns and improve patient outcomes. Healthcare professionals can develop targeted prevention strategies, enhance clinical management, and improve the overall well-being of affected children.


Plastic and Reconstructive Registrar at the Royal Hobart Hospital encompassing the Tasmanian Burns Unit