Bars and cocktail lounges serve various forms of flaming drinks, usual
ly made with very high-proof alcohol. The drinks are lit and then serv
ed. If additional alcohol from the bottle is added to a still-burning
drink, flames may spread up the stream of alcohol into the bottle and
cause a flash of flame out the bottle's neck. Injuries can require gra
fting. Three eases are reported. A 32-year-old white female sustained
burns covering 10 per cent of her body surface, including the face. Su
rgery with split-thickness grafts were required. Pressure garments wer
e prescribed for 6 months. A 34-year-old black female was burned by a
''volcano'' drink. Burns covered 20 per cent of her body surface, incl
uding the face. Split-thickness grafts were required on multiple occas
ions. Infected wounds healed slowly. Reconstructive surgery has so far
required eight procedures. A 39-year-old white male sustained severe
burns to 10 per cent of his body, including the face. Grafting was car
ried out. Pressure garments were required. Permanent visible facial sc
arring is present in all three cases. This type of accident is readily
preventable.