“Even though people are staying close to home, physical distancing can lead to an increase in high-risk behaviours, which in turn cause the types of injuries we often end up treating here,” says Dr. Marc Jeschke, medical director of the Ross Tilley Burn Centre at Sunnybrook.

The good news is that often, a little common sense can go a long way. Below are some tips from our Ross Tilley Burn Centre (RTBC) team:

Be careful when burning brush and debris

It’s understandable that many people want to make use of their time at home to get a head start with spring maintenance around their properties. Those who live on larger properties outside of the city, however, should think twice before burning large piles of brush and debris.

“Do not pour gasoline or another igniter fluid onto a fire that’s already burning, like a bonfire. The fire can come right back up into the container you’re holding, which will then explode,” he says. The person holding the container may also react by throwing it, inadvertently spraying other people nearby with burning fuel.

There is also the risk of a sudden shift in the direction of the wind, or the potential for unknown substances to be added to barrel fires. Have a safety plan in place, which includes having a container of water nearby or a garden hose on standby before starting the fire, and make sure someone else who knows what you’re doing (and where).

“With fires, you should always remember safety, and know where the closest water supply is,” says Dr. Jeschke.

Try not to use alcohol as a coping mechanism

Tolerating isolation is difficult for many people, particularly as the pandemic drags on, but Dr. Jeschke warns against drinking more alcohol as a coping mechanism.

“People are staying at home and drinking and smoking more, putting themselves at risk,” says Dr. Jeschke.

He says many of the injuries they see in the RTBC are the result of poor judgment. Simple activities like smoking and cooking can become deadly if a person falls asleep. Dropping a lit cigarette onto the carpet or leaving a stove unattended can ignite a fire very quickly.

If you do decide to consume alcohol, enjoy responsibly.

Take care of your mental health

The past year has brought huge changes to our daily routines, significantly impacting the mental health of many people. Anne Hayward, RTBC’s social worker, says it’s important to remember that physical distancing does not equal emotional or psychological distancing.

“For many people, physical distancing increases feelings of isolation, anxiety and depression, especially in at-risk populations. This, in turn, can lead to an increase in substance misuse and self-harm,” says Hayward.

“It’s more important now than ever to keep engaged, which can include staying in contact with people by phone, text, e-mail and using virtual technology.”

Hayward also recommends limiting the amount of time spent reading, watching and listening to the news, and only using reliable sources when you do.

“There’s a balance between being informed, but not overwhelmed,” she says.

If you are feeling anxious or overwhelmed, one strategy Hayward recommends is Expressions of Gratitude.

“By asking yourself what you are grateful for, it shifts the focus away from some of the negativity and worry and helps you to focus on something positive. This could include something simple like an act of kindness, spending time with people you love, or realizing what’s important,” she says.

Take care when cooking

With stay-at-home orders in place once again, more people are preparing and cooking meals at home. Keep some simple safety tips in mind, such as not wearing loose, flowing clothing while cooking.

“With loose clothing, you turn around quickly or get too close, and the fire ignites the clothes. You then have a major injury for no reason whatsoever,” says Dr. Jeschke.

Make sure your smoke alarms are working, stay in the kitchen at all times when you’re cooking, move anything that can catch fire away from your stovetop, and keep kids away from areas where hot foods or liquids are being prepared, like stoves and microwaves.

If you do suffer a burn:

If it’s a significant burn, call 911. While waiting for help to arrive, don’t put butter, vinegar, oil or lemons on the burn.

“The best initial treatment for all burns is cool running water. Don’t soak the injured area, just let the water run over it,” says Dr. Jeschke.

Help is available

Hayward says there are many reasons for people to feel anxious or overwhelmed right now.

“People may be struggling with financial, housing, food and job insecurity concerns, new or pre-existing mental health issues. They may also have immune-compromised or senior loved ones who are at risk, or loved ones who are living in other cities, provinces or countries that they can’t get to right now,” she says.

Others may be self-isolating in abusive or volatile living situations, which can lead to scalding, contact or chemical injuries, she adds.

Help is available through a variety of organizations, including 211 Ontario, Kids Help Phone and Connex Ontario, among others. A complete listing of crisis support hotlines is available at ontario.ca/coronavirus. If you are experiencing an emergency crisis situation, please contact 911 immediately or present to your nearest emergency department. 

If you’re a former RTBC patient and feel as though you need support during this challenging time, Dr. Jeschke encourages you to get in touch with the burn centre.

“Please reach out. You are not alone, and we will assess how we can best help you,” he says.

Note: this article was originally published in April 2020 and has since been updated.

The post Staying safe during COVID-19 lockdown: tips from our burn centre appeared first on Your Health Matters.

While Sunnybrook treats many people with severe burns caused by common summertime activities every year, there has been a recent spike in admissions because of injuries caused by barbecues and bonfires.

“In the first three weeks of June alone, we’ve already admitted six patients who were seriously injured in incidents with bonfires and barbecues,” says Dr. Marc Jeschke, medical director of Sunnybrook’s Ross Tilley Burn Centre (RTBC), the largest adult burn centre in Canada.

Almost all of those cases involved accelerant, alcohol or a combination of the two.

Here, he offers several tips to keep you safe and away from the emergency room this summer:

Don’t drink and light a barbecue or bonfire

“If you’ve had too many drinks to drive, you should not be using a barbecue,” says Dr. Jeschke. The same goes for bonfires. Already in May and June, the RTBC has seen several cases where patients were injured by bonfires and alcohol was involved.

Dr. Jeschke says many of the injuries they see in the burn centre are the result of poor judgment.

“Maybe someone’s decision-making ability was impaired by drugs or alcohol, or they didn’t stop to think about the potentially dangerous consequences of a situation,” he says.

“Don’t be that person.”

Don’t use accelerants on fires and barbecues

With COVID-19 restrictions in place, more people are preparing meals at home or cleaning up brush and other debris on their properties.

Since April, the RTBC has admitted five patients who were seriously injured after using accelerants (such as gasoline) on bonfires and barbecues.

“Do not pour gasoline or another igniter fluid onto a fire that’s already burning, like a bonfire. The fire can come right back up into the container you’re holding, which will then explode,” he says.

The person holding the container may also react by throwing it, inadvertently spraying other people nearby with burning fuel.

Keep a source of water nearby

If you’re going to have a bonfire, barbecue or use a fire pit, make sure you have a source of water nearby, whether it’s a garden hose on standby or a bucket of water, before starting the fire. When a fire gets out of control or a person is burned, every second counts.

“With fires, you should always remember safety, and know where the closest water supply is,” says Dr. Jeschke.

Get rid of your ethanol-fueled fire pot

Ethanol-fueled fire pots are often more decorative in nature, set on tabletops or in small bowls or pots, but don’t let that fool you: they are dangerous because they use highly flammable fuels, like butane and ethanol. In fact, Health Canada issued a consumer warning last year and asked manufacturers to stop selling these products.

“Explosions can happen when you try to re-light the fire, because there can still be fumes or low flames that can ignite during the refuelling process,” says Anne Hayward, a social worker at the RTBC.

Last year, the RTBC admitted four patients who were injured by ethanol-fueled fire pits. Unfortunately, one of those patients passed away from their injuries.

The burn centre hasn’t had any admissions yet in 2020 from ethanol-fueled fire pots, and they hope it stays that way.

“We’ve seen way too many people injured while refueling ethanol fire pots. It can happen to anyone. They are dangerous, and they can be deadly,” says Dr. Jeschke.

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Don’t wear loose clothing around open flames

 Keep some simple safety tips in mind while gathered around a fire pit or barbecuing, such as not wearing loose, flowing clothing.

“With loose clothing, you turn around quickly or get too close, and the fire ignites the clothes. You then have a major injury for no reason whatsoever,” says Dr. Jeschke.

What to do if someone is burned

If you or someone you’re with does get a burn, the best initial treatment is cold, running water.

“Don’t soak the injured area, just let the water run over it,” says Dr. Jeschke.

If it’s a significant burn, call 911 to get to the nearest hospital. Do not attempt to use homemade remedies on the burn, such as butter, vinegar, oil or lemon.

The post After spike in injuries from barbecues and bonfires, burn experts urge caution appeared first on Your Health Matters.

Whether you’re staying in the city, heading to a cottage or taking your chances with the weather and going camping, there are a few simple things you can do to stay safe and injury-free.

Dr. Marc Jeschke, medical director of Sunnybrook’s Ross Tilley Burn Centre (RTBC), says that common sense can prevent many of the injuries his centre sees each summer.

“In the summer, you’re more relaxed, maybe some alcohol is involved. This is when burn injuries can happen,” says Dr. Jeschke. Here are some of the most common causes of burn injuries RTBC staff see, and how to prevent them:

BBQs

When barbecuing, Dr. Jeschke says, stick to the rules: use fireproof gear, don’t put gasoline or igniter fluid on the grill and don’t wear loose, flowing clothing while cooking.

“With loose clothing, you turn around quickly or get too close, and the fire ignites the clothes. You then have a major injury for no reason whatsoever,” says Dr. Jeschke.

He recommends waiting until after you’ve finished cooking to consume alcohol. The same principle applies to tabletop fireplaces, which have been growing in popularity as a backyard patio feature.

“These can be dangerous because they’re at the exact same height as small children and pets. Keep loose clothing away from these too, and don’t throw any accelerants on them,” he says.

Camping

When camping, there can be a lack of familiarity with the tools you’re using. For example, while you use your stove at home every day, you don’t use your camp stove every day. The same goes for cooking over an open fire or refilling lamps with kerosene or gasoline.

“Do not pour gasoline or another igniter fluid onto a fire that’s already burning, whether it’s a bonfire or a camping lamp. The fire can come right back up into the container you’re holding, which will then explode,” he says.

Always have a container of water nearby or a garden hose on standby before starting the fire.

Fireworks

“Fireworks can be dangerous because if a large number of fireworks blow up, you get explosive burns,” says Dr. Jeschke.

Read safety instructions for fireworks before using them, and don’t let children be around them unattended. Don’t use fireworks inappropriately, like letting them explode in your hands or holding them while igniting them.

If you do suffer a burn:

If it’s a significant burn, call 911. While waiting for help to arrive, don’t put butter, vinegar, oil or lemons on the burn.

“The best initial treatment for all burns is cool running water. Don’t soak the injured area, just let the water run over it,” says Dr. Jeschke.

The post How to fireproof your summertime plans appeared first on Your Health Matters.