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Scald injury from the Guthrie test: should the heel be warmed?
  1. Z Hassan,
  2. M Shah
  1. The Burns Unit, Booth Hall Children’s Hospital, Central Manchester and Manchester, Children’s NHS Trust, Charlestown Road, Blackley, Manchester M9 7AA, UK;
  1. Correspondence to:
    Department of Plastic Surgery, Booth Hall Children’s Hospital, Charlestown Road, Blakeley, Manchester M9 7AA;


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.

  • Guthrie test
  • heel prick
  • scald

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  • Competing interests: none declared

  • Permission for publication of fig 1 has been obtained from the parents.