32
CPSC NEISS Data 2005–2024

Heating Or Cooling Comfort Packs (nonelectric)

Twenty years of CPSC NEISS emergency-room records for this consumer product category, combined with demographic breakdowns, multi-year injury trends, and matching recall notices.

Home Medical & Assistance Devices · CPSC Code 1742

Stable over 5 years

The verdict

Heating Or Cooling Comfort Packs (nonelectric) carry a danger score of 32/100 (low risk), driven by roughly 525 ER-treated injuries a year that are roughly flat over the last five years.

32/100
danger score (low risk)
525
ER visits per year (avg)
8.0%
end in hospital admission
45-54
most-injured age group

Every figure is rendered from the CPSC NEISS record for product code 1742 - last data year 2024.

PlainSafety danger score

0/100100/10032/100
PlainSafety danger score

Source: CPSC NEISS danger-score model As of 2024

How this 32/100 score is built

The score is computed from four CPSC-derived factors for heating or cooling comfort packs (nonelectric) - no opinion, no editorializing:

  • Injury volume525 ER visits/yr
  • Severity (hospitalization rate)8.0%
  • Fatality rate0.00%
  • 5-year trend-7%

See the full methodology for the exact weighting of each factor.

What the CPSC Data Shows

Heating Or Cooling Comfort Packs (nonelectric) (CPSC product code 1742, in the Home Medical & Assistance Devices category) generate an estimated 525 emergency-room visits every year in the United States, adding up to roughly 10,503 ER-treated injuries across the 20-year span from 2005 to 2024. PlainSafety derives a danger score of 32/100 for this category (low risk), combining raw injury volume, demographic reach, severity of outcome, and multi-year trend. The five-year trajectory shows that injury counts are roughly flat over the last five years, with the busiest year on record being 2017 (995 estimated ER visits) and the quietest 2006 (140 estimated visits).

The single most common ER diagnosis for heating or cooling comfort packs (nonelectric) is burns, thermal to the lower trunk, accounting for approximately 1,150 visits across the 20-year NEISS window, followed by poisoning to the all parts body (669 cases). The 45-54 age group absorbs the largest share of injuries, about 1,702 cases over the NEISS window, and females appear slightly more often than the opposite sex in that cohort. Severity outcomes from the NEISS disposition field show that 8.0% of ER visits involving this product end in hospital admission or transfer.

Beyond the hospital-sampled NEISS projections, this page also aggregates 27 consumer incident reports filed directly on SaferProducts.gov, plus 20 anonymized ER narratives - together forming a layered picture of how heating or cooling comfort packs (nonelectric) fail in real households. Every figure on this page comes from CPSC-published data: NEISS projects national estimates from a probability sample of about 100 U.S. hospital emergency departments, while SaferProducts.gov collects voluntary reports from consumers, manufacturers, and clinicians. The danger score, trend indicators, and demographic breakdowns update automatically when CPSC releases a new yearly NEISS file, which is why this page is dated 2024-12-31. For regulatory context, consult CPSC recall notices and the SaferProducts.gov public database linked below.

525
Injuries / Year
8.0%
Hospitalization Rate
0.00%
Fatality Rate

Annual Injury Estimates (2005–2024)

02004006008001K1K 20052008201120142017202020232024 900
Estimated annual emergency-room visits for Heating Or Cooling Comfort Packs (nonelectric), CPSC NEISS

Source: CPSC NEISS national injury estimates As of 2024

Source: CPSC NEISS national estimates CPSC NEISS national estimates Injuries represent ER-treated cases only

Who Gets Injured?

Age Group Male Female Total
0-4 174 271 445
5-14 391 569 960
15-24 288 673 961
25-34 706 372 1,078
35-44 524 787 1,311
45-54 719 983 1,702
55-64 629 988 1,617
65-74 413 858 1,271
75+ 380 778 1,158

Most Common Injuries

Body Part Diagnosis Est. Injuries
Lower Trunk Burns, Thermal 1,150
All Parts Body Poisoning 669
Foot Burns, Thermal 583
Upper Trunk Burns, Thermal 582
Lower Leg Burns, Thermal 571
Lower Trunk Burn, Chemical 471
Foot Other 407
Knee Burn, Not Spec. 276
Face Burns, Thermal 227
Neck Derma/conjunct 223
Internal Ingestion 217
Lower Leg Burn, Not Spec. 212
Upper Leg Burns, Thermal 170
Upper Trunk Other 162
Hand Burns, Thermal 161

Severity Breakdown

Treated/examined And Released 90.4% (9,500)
Treated And Admitted/hospitalized 7.4% (781)
Treated And Transferred 1.5% (153)
Left Without Being Seen 0.7% (70)

ER Visit Narratives

Real anonymized emergency room reports from the CPSC NEISS database.

Age 11 · Female · Face · Contusions, Abr. · 2024

11YOF BRUISING TO FACE WHEN BOYS ON BUS THREW AN ICE PACK HITTING PT FACEDX FACIAL CONTUSION

Age 63 · Male · Lower Trunk · Burns, Thermal · 2024

63YOM LOWER BACK BURN FROM HEATING PAD AT THERAPYDX BURN LOWER BACK

Age 18 · Female · Upper Leg · Burn, Scald · 2024

18YOF WAS USING A HEATING PAD ON HER LOWER ABDOMEN WHEN HOT WATER SPILLED OUT OF THE HEATING PAD AND BURNED HER ON THE LEFT THIGH DX: PARTIAL THICKNESS BURN OF LEFT THIGH

Age 19 · Female · Knee · Burn, Not Spec. · 2024

19YOF HAD PAIN IN HER LEFT KNEE AND WAS USING AN ICE PACK AND LEFT IT ON HER BARE SKIN FOR FOUR HOURS NOW HAS RED AND PAINFUL BLISTERING DX: FROSTBITE

Age 40 · Female · Ankle · Burns, Thermal · 2024

40 YOF REPORTS THAT YESTERDAY SHE REQUIRED AN ICE PACK DIRECTLY TO HER RIGHT ANKLE DUE TO SWELLING, HAD IN PLACE FOR APPROXIMATELY 40 MINUTES, AFTER REMOVAL SHE NOTICED REDNESS AND BLISTERING. DX: COLD INJURIES.

Age 26 · Male · Neck · Other · 2024

26YOM USED HOT PACK AND AFTERWARDS USED COLD PACKS AND STARTED TO DEVELOP R NECK PAIN WITH NUMBNESS AND TINGLING. DX; NECK PAIN

Age 11 · Female · Eyeball · Derma/conjunct · 2024

11YOF WITH A CHEMICAL HAND WARMER THAT BURST OPEN AND GOT INTO HER EYE DX: CHEMICAL CONJUNCTIVITIS

Age 56 · Male · Knee · Burn, Not Spec. · 2024

56 YOM HAS HAD A CHRONIC HISTORY OF RECURRENT LEFT KNEE PAIN. HE STATES THAT 2 DAYS AGO HE WAS APPLYING AN ICE PACK TO THE AREA AND LEFT THE ICE ON FOR TOO LONG CAUSING BLISTERING. PATIENT STATES THAT HE WOKE UP THE NEXT MORNING WITH INCREASED REDNESS AND SWELLING TO THE AREA. DX BURN

Age 71 · Female · Upper Trunk · Burns, Thermal · 2024

71YOF FELL ASLEEP WITH A HEATING PAD ON UPPER BACK NOW AREA IS PAINFUL AND RED DX: SUPERFICIAL THERMAL BURN TO UPPER BACK

Age 61 · Male · Lower Trunk · Burns, Thermal · 2024

61YOM PRESENTS WITH 5X5CM BUTTOCK BURNS WITH A LARGE BLISTER ON THE R SIDE FROM A HAND WARMER AT 5AM. PT STATES HAND WARMERS WERE IN BACK POCKETS FOR 3 HOURS. PT ENDORSES PAIN ON CONTACT BUT DENIES PAIN AT REST OR NUMBNESS OR TINGLING. DX: SECOND DEGREE BURN OF BUTTOCK

Age 14 · Female · Lower Trunk · Burn, Scald · 2024

14YOF PRESENTS WITH BURNS TO HER BUTTOCK AND FEET AFTER A HEATING PAD FULL OF HOT WATER POPPED. DX: BURN OF BUTTOCK, BURN OF FOOT

Age 50 · Female · Lower Leg · Other · 2024

50YOF WAS USING A HEATING PAD WHEN SHE HEATED IT IN THE MICROWAVE AND WHEN SHE PUT IT ON HER ANKLE, IT CAUSED A BURN AND BUBBLE OF THE SKIN. NOW SHE HAS NOTICED REDNESS TO AREA. DX: INFECTED BURN TO RIGHT LEG

Consumer Incident Reports

Reports filed by consumers on SaferProducts.gov.

9/1/2017 · Injury, Seen by Medical Professional · GLJ, LLC · California

8/28/17 During construction I used the O2 Cool cooling towel to keep cool inside. I had rinsed it thoroughly and refrigerated it and used it for about two hours around my neck and chest and face. Hours later massive severe contact dermatitis that the doctor diagnosed it a chemical burn and took pictures and told me I need to report it. I have what looks like 2nd degree burns still 3 days later!!

7/18/2024 · Injury, Seen by Medical Professional · TV DIRECT LLC · Michigan

(07/12/2024) The consumer stated that she has used the product about four times. She didn't notice that the product had a slow leak. However, on Friday, 7/12, the product was leaking a chemical that went through her shirt and caused a chemical burn on her skin. The consumer was treated at the doctor's office. The consumer would know what chemicals are in the product.

7/17/2013 · Injury, First Aid Received by Non-Medical Professional · O2Cool, LLC · South Carolina

I just filed an incident report but had accidentally sent it before I completed my contact information. The report is regarding a face rash and allergic reaction in the eyes in a child using the O2Cool Arcticloth cooling towel on July 16 and 17, 2013. As I already said, my 10-year-old daughter is suffering from discomfort, rash, and swollen eyes after using this product twice. We thought her symptoms were a sunburn the first time since she spent a day in the sun playing tennis. The second time she used it she was in bed and had it wrapped around her face and neck because she wanted the coolness to comfort her from her itchy face and rash. We didn't realize until after a couple of hours when she awoke in discomfort that it was the cloth that was causing her problems. We've treated her with Benadryl and may see a doctor in the morning. Her breathing seems to be okay and we're monitoring her sleep. There are other consumers with similar experiences with this product according to customer reviews on Amazon.com. The product has no directions or safety information or warnings. Consumers need this information so they can prevent the harm that has been caused my daughter.

7/15/2018 · Injury, First Aid Received by Non-Medical Professional · Guangzhou Sanqiushu Network Network Technology Co · Virginia

I got DARUNAXY Evaporative Cooling Towels as a gift. You're supposed to get them wet, wring them out, and wrap them around your neck or head to keep cool. I did this yesterday. Within about ten minutes, I started getting a rash on the left side of my neck, where the towel had the most contact with my skin. I took the towel off, and over the course of the day, the rash became very itchy, burned, and inflamed. I tried to put burn/itch cream on it, and it burned like crazy, so I took it off with rubbing alcohol. Overnight, the rash became more inflamed and crusty. It's a good four inches high and six inches across. I looked up the company, Darunaxy, and can find no information about the company at all, besides they're Chinese. I'm afraid something that was in/on the towels caused a severe skin reaction and I can't find anything that tells me what chemical they may have used on these.

6/3/2023 · Injury, Hospital Admission · Kobayashi Consumer Products, LLC · United States

A patient ingested one half of a hand warmer packet which caused elevated serum iron levels and caustic injury in esophagus and stomach.

5/4/2018 · Incident, No Injury · Wang Mei Hua · Unspecified

I bought a hand-warmer from a company called FourHeart. While charging the product (as directed) it exploded on my couch. Burn holes from the debris were left in my furniture and carpet. I had professional estimates which I then passes on to FourHeart. They refused to cover the damages.

4/5/2019 · Incident, No Injury · Sakar · Wisconsin

My daughter placed the smooth Vivatar Hot/Cold Massage Ball in the microwave per the package instructions. The ball exploded in the microwave. The force of the ball exploding against the microwave door caused the microwave to stop working. Hot gel like liquid was all over the interior of the microwave and we were forced to replace the unit.

4/29/2011 · Incident, No Injury · MSR IMPORTS, INC. · Unspecified

Dear Honorable Attorney General, I hope you will assist me regarding my issues and concern for the safety of consumers in purchasing an item for home remedy/healthcare. I recently purchased a cervical gel collar for my neck from a catalog company named The Feel Good Store 6864 Engle Rd Cleveland, Ohio 44130 This gel collar could be placed in the freezer or heated in the microwave. It was made in China and has proven to be defective and hazardous to the consumer. I followed the directions for warming up the collar to a "T" in my 700 watt microwave (see enclosed directions sheet). After 2 30 sec. heating times, my microwave had a burn mark on its left wall and a hole was burned thru the collar to the gel. A horrid odor was inside the microwave & in the room. Ashes came out of the hole in the collar. I saw no smoke or flame but put the collar under the faucet. The collar was NEVER EVER warm enough to the touch and obviously had interna / external hot spots. It was a bad egg, defectively manufactured in China. I've had no problems with the Feel Good Store in receiving a credit for the defective merchandise. I did encourage them to take the item off the list for sale to consumers.I am writing you so you may enforce my concern. I was fortunate . But another person might have a fire to deal with or injure themselves with this defective collar. Can you please follow up on this matter? I do hope the company will not sell anymore of these collars to the public. Yours truly, [REDACTED]

Showing 8 of 27 reports.

Product Recalls

Search for active and past recalls related to heating or cooling comfort packs (nonelectric) on the CPSC website.

Frequently Asked Questions

How dangerous are heating or cooling comfort packs (nonelectric)?

Based on 20 years of CPSC data, heating or cooling comfort packs (nonelectric) have a danger score of 32/100 (low risk). An estimated 525 ER-treated injuries occur annually in the U.S. related to this product category.

What are the most common injuries from heating or cooling comfort packs (nonelectric)?

The most common injury is burns, thermal to the lower trunk, accounting for approximately 1,150 injuries over 20 years.

Are injuries from heating or cooling comfort packs (nonelectric) increasing or decreasing?

Stable over 5 years.

Who is most at risk for heating or cooling comfort packs (nonelectric) injuries?

The 45-54 age group accounts for the most injuries, with approximately 1,702 cases recorded over 20 years. Females are more frequently injured in this age group.

What happens when someone is injured by heating or cooling comfort packs (nonelectric)?

Of all ER visits involving heating or cooling comfort packs (nonelectric), approximately 8.0% result in hospital admission. The majority of patients (92.0%) are treated and released from the emergency department.

How can I report a safety problem with heating or cooling comfort packs (nonelectric)?

You can file a consumer incident report at SaferProducts.gov, the official CPSC reporting portal. Reports help the CPSC identify emerging hazards and trigger investigations or recalls. You can also call the CPSC hotline at 1-800-638-2772.

Safety Guides

What this means for you

Treat the 32/100 score as relative risk between products, not your personal odds of injury.

  • See where this category ranks against every other tracked product. Full rankings
  • Injuries cluster in the 45-54 age group, take extra care if that describes your household.
  • Check for active recalls on this product before you assume it is safe. CPSC recalls

NEISS estimates ER-treated injuries from a national probability sample of hospitals; they do not capture injuries treated elsewhere or not treated at all.

Data: CPSC National Electronic Injury Surveillance System (NEISS) 2005–2024 and SaferProducts.gov consumer incident reports. Injury estimates are based on a nationally representative probability sample of U.S. hospital emergency departments. This page is for informational purposes only and is not affiliated with the CPSC.