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Adequate cool running water first aid decreases burn depth and skin grafting requirements in paediatric thermal burns
  1. Rachael Fleming1,2,
  2. Natalie Bee3
  1. 1 Paediatrics, Forth Valley Royal Hospital, Larbert, UK
  2. 2 Paediatrics, Royal Hospital for Sick Children, Edinburgh, UK
  3. 3 Emergency Department, Royal Hospital for Children, Glasgow, UK
  1. Correspondence to Dr Rachael Fleming, Paediatrics, Royal Hospital for Sick Children, Edinburgh EH9 1LF, UK; rachael.fleming{at}

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Review of: Griffin BR, et al. Cool running water first aid decreases skin grafting requirements in pediatric burns: a cohort study of two thousand four hundred ninety-five children. Ann Emerg Med, 2020; 75:75–85.

Setting: Dedicated children’s burn centre, Queensland, Australia.

Patients: 2495 patients aged 0–16 years (IQR 1–6 years) presenting as an inpatient or outpatient with a thermal burn between July 2013 and June 2016.

Primary outcome: First aid administered and need for skin grafting. Adequate first aid defined as 20 minutes or more of cool running water, within 3 hours of …

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  • Contributors RF wrote the abstract. NB wrote the commentary.

  • Provenance and peer review Not commissioned; internally peer reviewed.