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A preventable subgroup of motor vehicle injuries is burns from motor-vehicle radiators. Such burns can have a significant impact on return to work and patient psychological wellbeing.1 These injuries are commonly scald burns, often occurring following attempts to remove the lid of a hot radiator with high pressure or explosion of the radiator. This results in a spray of superheated fluid and steam as the content of a closed system adjusts to the surrounding environment once the closed system is breached. Current prevention strategies include instructions in car manuals, caution labels on the radiator caps, valve mechanisms to allow internal pressure to reduce before caps can be opened, and care manufacturers carefully positioning the caps so that the chances of scald injuries are minimised if the caps are opened or broken accidentally. Despite these efforts, burn injury resulting from motor vehicle radiators is a continuing problem.2 Given that this type of injury has not been reviewed for over a decade, we present a retrospective analysis of scald burns involving motor vehicle radiators treated by our burns service, a tertiary burns centre situated in the east of England that caters to a population of 9.9 million inhabitants. Annals of Burns and Fire Disasters Pending Publication