[Heated car seats--a potential burn risk for paraplegics].
Klinik für Plastische Chirurgie, Hand- und Verbrennungschirugie, Universitätsklinikum RWTH Aachen.Der Nervenarzt (Impact Factor: 0.79). 03/2006; 77(2):201-3.
The comfort of heated car seats has gained popularity worldwide. We present a rare case of severe second- and third-degree burn in the lower back and sacral region of a 42-year-old post-traumatic paraplegic patient while using a heated car seat. The patient was admitted to our burn unit and required several reconstructive surgery procedures. Inadvertent thermal injury is a constant potential hazard for individuals with impaired sensibility such as paraplegics and other neurologically impaired patients. Early education of patients, manufacturers, and health care personnel is of eminent importance to prevent severe burn injuries in this risk population.
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ABSTRACT: Background A 24-year-old paraplegic woman suffered deep dermal burns to both hands and circumferential burns to all fingers after a manicure. To accelerate the drying process of the nail polish, the caregiver used a hairdryer. Due to her impaired pain sensation, the patient could not feel the happening skin damage and the inexperienced caregiver did not even consider such a possibility. Methods Case report and review of the literature. Results After conservative treatment for 3 weeks, we performed skin grafting on the remaining unhealed wound areas with a 100 % take rate and good final results. Conclusions The need of a hot air stream during a manicure is questionable. However, in a patient without sensation of pain, its use requires extreme care; otherwise, thermal injuries can easily occur.