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Licensed Unlicensed Requires Authentication Published by De Gruyter April 22, 2015

Tweens feel the burn: “salt and ice challenge” burns

  • Lauren O. Roussel and Derek E. Bell EMAIL logo

Abstract

Purpose: To review our institution’s experience with frostbite injury secondary to “salt and ice challenge” (SIC) participation.

Methods: We conducted a retrospective analysis of intentional freezing burns from 2012 to 2014. Demographics, depth and location of burn, total body surface area of burn, treatment, time to wound healing, length of stay, complications, and motives behind participation were analyzed.

Results: Five patients were seen in the emergency department for intentional freezing burns that resulted from SIC (all females; mean age: 12.3 years; range age: 10.0–13.2 years). Mean total body surface area was 0.408%. Salt and ice was in contact with skin for >10 min for two patients, >20 min for two patients, and an unknown duration for one patient. Complications included pain and burn scar dyschromia. Four patients cited peer pressure and desire to replicate SIC as seen on the Internet as their motivation in attempting the challenge.

Conclusion: SIC has become a popular, self-harming behavior among youths. Increased public education, and provider and parent awareness of SIC are essential to address this public health concern.


Corresponding author: Derek E. Bell, MD, University of Rochester Medical Center, 601 Elmwood Avenue, Box SURG, Rochester, NY 14642, USA, Phone: +1-585-275-2876, E-mail:

Acknowledgments

This case series has been presented at the Eastern Great Lakes Regional Burn Conference (October 2013) and American Burn Association Meeting (April 2014).

External funding: Not applicable.

Disclosure of potential conflicts: Not applicable.

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Received: 2015-1-12
Accepted: 2015-3-18
Published Online: 2015-4-22
Published in Print: 2016-5-1

©2016 by De Gruyter

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