Presentation Description
Institution: Fiona Stanley Hospital - Western Australia, Australia
PURPOSE
Friction burns are a distinct yet frequently under-recognised mechanism of burn injury in both adult and paediatric populations. These injuries are commonly underestimated at initial assessment, leading to delayed specialist referral and suboptimal management. The rapid uptake of electric bicycles and scooters has introduced higher-energy mechanisms and evolving risk profiles for friction-related injury. This study aims to characterise contemporary patterns of friction burns and examines emerging trends associated with electric micromobility.
METHODS
A retrospective cohort study was conducted of patients presenting with friction burns to Western Australia’s State Adult Burn Unit and State Trauma Unit between January 2021 and January 2026. Data collected included demographics, injury mechanism, total body surface area (TBSA), burn depth, anatomical distribution, operative management, referral pathways, and outcomes.
RESULTS
A total of 87 patients were identified. Burns commonly resulted from wheeled recreational and road-related mechanisms, predominantly affecting the lower limbs and upper extremities. Although median TBSA was modest (5%), a substantial proportion sustained deep dermal or full-thickness injury requiring operative intervention. Electric bikes and scooters accounted for an increasing proportion of injuries, with higher travel velocities and road-surface contact associated with increased burn depth and operative requirements. Under-recognition and delayed referral to specialist burn services remained common. Long-term follow-up demonstrated ongoing morbidity, including hypertrophic scarring and psychosocial distress.
CONCLUSION
Friction burns remain an under-recognised and underestimated injury despite often limited TBSA. The expanding use of electric micromobility devices appears to be contributing to increasing injury incidence and severity. Improved early recognition, timely referral to specialist services, and targeted prevention strategies are essential to reduce long-term physical and psychosocial sequelae.
Presenters
Authors
Authors
Dr Dulan Gunawardena - , Dr Jeremy Rawlins -
