IPLab:Lab 12:Burns

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Clinical Summary[edit]

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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In alcoholics, aspiration pneumonia is common--bacteria enter the lung via aspiration of gastric contents.