Sugarcane juice is popular drink in Malaysia and South Asia bearing in mind the refreshing taste in the scorching heat and humidity. During the fasting month, family-run businesses will open stalls in designated areas (“Bazaar Ramadhan”) to serve the local population that flocks there. Children sometimes are allowed to handle these machines without their parents realising the hidden dangers in the mechanism and the severity of injuries that may be inflicted. This lecture will deal with these injuries that have a special place due to the mechanism, the biological and technical implications and the extensive damage that becomes difficult to repair or reconstruct (similar to the dough sheeter injuries reported in 2005). A management protocol is suggested to maximise the outcome.