Social media platforms have become fertile ground for viral challenges, many of which pose serious risks to young participants. These challenges often promise social validation through likes, followers, or perceived bravery, leading adolescents to engage in dangerous behaviours to appear "cool" or courageous.[1] This presentation aims to raise awareness about the connection between social media and burn injuries in youth, highlighting the need for preventive strategies to reduce harm.
One notable example is the "Cologne Challenge," where participants pour cologne on the mirror, switch off the lights and hold a lighter near it, resulting in severe burns.[1] Another alarming trend involves setting alcohol-soaked clothing on fire or combining hairspray and lighters to create flames—both of which have led to significant flame burns in children.[2] The "Fire Challenge" encourages individuals to douse themselves in rubbing alcohol and set it alight, often resulting in extensive injuries. Similarly, the "Boiling Water Challenge," where participants throw boiling water into cold air expecting it to freeze mid-air, has caused serious scald burns, particularly to the face and upper body.[3] Another notable trend is the “salt and ice” challenge where participants drop as much ice on themselves as they could bear after pouring salt on their hands.[1] Other dangerous trends include the eraser challenge, fart lighting challenge, and planking—all of which carry physical risks with little regard for safety.
Further research is needed to understand how social media influences youth behaviour.[4] Meanwhile, increased parental supervision, robust internet safety education, and policy measures to restrict or penalize harmful content could play key roles in protecting young people from preventable injuries. The medical practitioner needs to be aware of the current trends that may be the cause of their younger cohort patient’s injuries so that appropriate treatment can be administered promptly besides educating patients and parents.