COHORT SERIES AND LITERATURE REVIEW Affiliations: Background: 1. Pegg Leditschke Children’s Burns Frostie: The deliberate infliction of a Centre, Children’s Health cold burn injury to the skin of a person INTENTIONAL SELF- AND PEER- INFLICTED Queensland, South Brisbane, Qld, through the use of an aerosol device. Australia

2. Mater Misericordiae Hospital, Objectives: AEROSOL SKIN INJURIES: FROSTIES South Brisbane, Qld, Australia To identify a cohort of patients with 3. School of Medicine, Griffith Authors: Frosties and compare them to all other University, Brisbane, Qld, Australia Dr Christopher R. Maguire1,2,3 cases in the broader literature in order 4. Centre for Children’s Burns and to better understand the key Dr Bhaveshkumar Patel1,4 Trauma Research, University of characteristics of this patient group and Queensland, South Brisbane, Qld, in doing so guide clinical management. 1,3,4 Dr Craig A. McBride Australia

METHODS Data with inadequate A literature comparability were review was then Gender, age at injury, days to Frosties that occurred not analysed between 1 Jan 2013 - 30 Jun conducted in order to presentation, cluster association, 2017 were identified within identify other cases that first aid, depth of injury and our burns centre database. could be compared. outcome were able to be compared

RESULTS LOCAL 11 DATA SET PATIENTS 72% 1 OF INJURIES AGES RANGING FROM DATA SET WERE FEMALE LITERATURE 21 DATA SET PATIENTS UNIVERSAL TREND OF DELAYED PRESENTATION FOLLOWING INJURY 3 CASES 6.5 DAYS MEDIAN OF CLUSTER INJURIES

LOCAL DATA SET

0% HAD ADEQUATE FIRST AID WAS FIRST AID NOT APPLIED 2 CASES WERE LESS 8 CASES WERE 10 CASES REQUIRED (20 MINUTES OF FIRST AID WAS SEVERE THAN SUPERFICIAL FULL THICKNESS A SPLIT-THICKNESS COLD RUNNING WATER) NOT ADEQUATE PARTIAL THICKNESS INJURIES SKIN GRAFT (STSG)

KEY FINDINGS

1 First aid is infrequent 2 Despite the short 3 In addition to this, it was not 4 Patients are prone to 5 Incidental identification of the injury, and patients present to duration of exposure to the uncommon for a patient to present underestimating the degree of and asking about others injured in a an appropriate health aerosol spray, the injury as a part of a cluster of injuries their injury and are also slow cluster event, is an important ‘catchment facility late. sustained is often severe. (‘tip of the ice-berg’ phenomenon). to present to a health service. strategy’ in the primary care setting.

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