[SavageGlow]

A nineteen-year-old female presented to the Chelsea and Westminster Hospital Burns unit with a partial thickness burn to the anterior chest. Two days previously she had consumed a large amount of alcohol at a party and had been found semi-conscious, presumed secondary alcohol intoxication, having vomited onto the front of her T-shirt. It was estimated that she had been in this state for 3-4 h. The patient’s cloths were changed but she did not shower until 12 h later, thereby potentially increasing the contact time between skin and the stomach contents.

On examination there was a 2% superficial partial thickness and mid dermal burn to the breasts and upper abdomen . Litmus testing of the burn wound was neutral. Thorough cleansing and debridement of the blistered skin was performed.

Due to an associated flare, the patient was dressed in Bactroban (GSK, UK) and Mepetil (Molnlycke Health Care, } UK) and an oral course of Augmentin (co-amoxiclav) was started. The flare had resolved on review at 24 h and by 72 h most of the periphery of the burn was already beginning to reepithelialise. The wound continued to be dressed in Mepetil until healed.

The pH of stomach acid is on average around two, but can be lower. As well as the skin, other tissues are at risk from the stomach contents; for example the teeth in bulimia and gastro oesophageal reflux disease, the lung in aspiration injury and the lining of the stomach itself.

Partial thickness burns secondary to contact with gastric contents have been reported previously in patients with disconnected percutaneous endoscopic gastrostomy (PEG) feeding apparatus.1,2 However we believe this to be the first time in the literature that such an injury has been described secondary to vomiting, in this case triggered by excess alcohol consumption. As with any chemical burn, the severity of the injury is related in particular to the pH of the chemical and the duration of contact with the agent. Interestingly the patient burnt after contact with their leaked PEG feed1 was also thought to have the same contact time of approximately 3-4 h.

With alcohol related deaths almost doubling between 1991 and 2005,3 along with changing drinking patterns amongst the young, particularly young females4 and the current availability of cheap alcohol,5 it seems likely that similar injuries may be seen again in the future. Patients unable to remove themselves from a hazardous agent, whether due to neurological condition or inebriation are most at risk and clearly there is a public health message here. As with any chemical burn, copious early irrigation of the agent is required and this type of injury can be added to the growing list of potential complications of binge drinking.

[Hogmann]

I read all those words and then realized there were titties at the bottom!

[azblue81]

It’s hard to ruin 19 year old titties. I’d still hit that. She might let me next time she gets drunk at a party.

[marcos_69]

I had no idea puke would do this.

[HIGHTECHDUDE]

I drove an ambulance in my younger days and worked in the skid row area. It was common to transport vomit covered winos who were dying from cirrhosis. They frequently exhibited the same type of burns on their chest and arms which my fellow ambulance jockeys coined "wino rash."

One of my most memorable calls was to transport a nude woman who had puked in her own lap and remained unconscious for 6-8 hours. Needless to say, a bright red baboon ass paled in comparison to what she had...

[v1r]

Originally Posted by HIGHTECHDUDE ↗

I drove an ambulance in my younger days and worked in the skid row area. It was common to transport vomit covered winos who were dying from cirrhosis. They frequently exhibited the same type of burns on their chest and arms which my fellow ambulance jockeys coined "wino rash."

One of my most memorable calls was to transport a nude woman who had puked in her own lap and remained unconscious for 6-8 hours. Needless to say, a bright red baboon ass paled in comparison to what she had...

I'd let you drive my mangled body to a hospital.

[v1r]

Or morgue.

[Otimebomb]

Yowza…

If they need a taste test once they are healed up, I’m down.

[mintycbo]

I knew this guy when we were teenagers, he passed out at a party and they dumped a bottle of nair down his pants.
He slept in it for 12 hours. was Hospitalized.
Glad the worst that ever happened to me, had one eyebrow shaved off, markered up. Big ole dicks ofc...

[Caveman5150]

If you're only 19 & you're already drinking like you become unconscious in your own vomit for 4-5 hours - you got bigger problems than your burned titties baby. Her friends are also pieces of shit - nobody checked on her? Good she wasn't laying flat on your back or she'd be dead.