Gasoline is intended for use as a motor fuel, but the universal availa
bility of gasoline in the home encourages misuse as a solvent, insecti
cide, accelerant or cleaning solution. The careless or inappropriate u
se of gasoline may result in burn injury. We examined the circumstance
of gasoline-related injury in a population admitted to one burn centr
e to determine the potential for burn prevention efforts. A retrospect
ive review of all burn admissions to one centre for the years 1978 to
1996 demonstrated hat 1011 of 4339 acute admissions (23.3%) were gasol
ine-related. This group had an average total burn size of 29,8% total
body surface (TBSA) and an average full thickness injury of 14.3% TBSA
. There were 144 fatalities resulting from gasoline-associated burn in
jury. Where such determination could be made, the use of gasoline was
judged to be inappropriate or unsafe in 657 of 788 cases (57.1%). Nine
ty of 144 fatalities (62.5%) were associated with inappropriate or uns
afe use of gasoline. The careless or inappropriate use of gasoline pos
es significant risk of burn injury. The indoor use of gasoline, as wel
l as use of gasoline for purposes other than as a motor fuel, should b
e strongly discouraged. (C) 1998 Elsevier Science Ltd for ISBI. All ri
ghts reserved.