Difference between revisions of "IPLab:Lab 12:Burns"
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== Clinical Summary == | == Clinical Summary == | ||
− | This 45-year-old | + | This 45-year-old female was involved in a house fire which killed her husband. The patient had approximately 80% body surface area burns including 1st, 2nd, and 3rd degree burns. The patient was intubated and given aggressive fluid resuscitation and ventilatory support, but she remained hypotensive and became progressively hypoxemic and hypercapnic until she died approximately eight hours after the fire. |
− | + | Carbonaceous material was noted in the throat and posterior pharynx as well as in the trachea and main stem bronchi. The liver was soft, yellow and greasy. Results of premortem blood work showed an elevated blood alcohol level. | |
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== Images == | == Images == | ||
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=== Journal Articles === | === Journal Articles === | ||
* Fukuzuka K, Rosenberg JJ, Gaines GC, Edwards CK 3rd, Clare-Salzler M, MacKay SL, Moldawer LL, Copeland EM 3rd, Mozingo DW. [http://www.ncbi.nlm.nih.gov/pubmed/10363899 Caspase-3-dependent organ apoptosis early after burn injury]. ''Ann Surg'' 1999 Jun;229(6):851-8; discussion 858-9. | * Fukuzuka K, Rosenberg JJ, Gaines GC, Edwards CK 3rd, Clare-Salzler M, MacKay SL, Moldawer LL, Copeland EM 3rd, Mozingo DW. [http://www.ncbi.nlm.nih.gov/pubmed/10363899 Caspase-3-dependent organ apoptosis early after burn injury]. ''Ann Surg'' 1999 Jun;229(6):851-8; discussion 858-9. | ||
+ | * Robert L. Sheridan, M.D.[http://www.nejm.org/doi/pdf/10.1056/NEJMra1601128 Fire-Related Inhalation Injury]. ''NEJM'' 2016 Aug;375:464-469. | ||
=== Images === | === Images === |
Latest revision as of 21:14, 9 July 2020
Contents
Clinical SummaryEdit
This 45-year-old female was involved in a house fire which killed her husband. The patient had approximately 80% body surface area burns including 1st, 2nd, and 3rd degree burns. The patient was intubated and given aggressive fluid resuscitation and ventilatory support, but she remained hypotensive and became progressively hypoxemic and hypercapnic until she died approximately eight hours after the fire.
Carbonaceous material was noted in the throat and posterior pharynx as well as in the trachea and main stem bronchi. The liver was soft, yellow and greasy. Results of premortem blood work showed an elevated blood alcohol level.
ImagesEdit
Study QuestionsEdit
Additional ResourcesEdit
ReferenceEdit
- eMedicine Medical Library: Thermal Burns
- eMedicine Medical Library: Emergent Management of Thermal Burns
- Merck Manual: Burns
Journal ArticlesEdit
- Fukuzuka K, Rosenberg JJ, Gaines GC, Edwards CK 3rd, Clare-Salzler M, MacKay SL, Moldawer LL, Copeland EM 3rd, Mozingo DW. Caspase-3-dependent organ apoptosis early after burn injury. Ann Surg 1999 Jun;229(6):851-8; discussion 858-9.
- Robert L. Sheridan, M.D.Fire-Related Inhalation Injury. NEJM 2016 Aug;375:464-469.
ImagesEdit
In alcoholics, aspiration pneumonia is common--bacteria enter the lung via aspiration of gastric contents.