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Scald injury from the Guthrie test: should the heel be warmed?

The Burns Unit, Booth Hall Children’s Hospital, Central Manchester and Manchester, Children’s NHS Trust, Charlestown Road, Blackley, Manchester M9 7AA, UK;

Correspondence to:
Correspondence to:
MrHassan
Department of Plastic Surgery, Booth Hall Children’s Hospital, Charlestown Road, Blakeley, Manchester M9 7AA; zahid.hassan{at}man.ac.uk

ABSTRACT
A 6 day old boy sustained scalds to his right foot from application of a "warm nappy" to increase blood flow to facilitate heel pricking for a routine Guthrie test. It is proposed that active warming of the heel in isolation is not necessary in heel blood sampling.

View larger version (124K): [in this window] [in a new window]   Figure 1  Right foot and ankle showing dyspigmented, raised scar resulting from scald injury. Permission for publication of this figure has been obtained from the parents.

Keywords: Guthrie test; heel prick; scald

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