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A 35-year-old woman sustained extensive burns and was possibly trampled in a nightclub after a pyrotechnics display set fire to the building. At the scene, she was responsive but confused and agitated.
Hour 2
Ninety minutes after the start of the fire, the patient arrived in the emergency department of another hospital. She was disoriented and in moderate distress, and she was coughing up soot and having trouble breathing. There were burns on her face, chest, back, and arms and legs. The nasal hair was singed. She was sedated, and the trachea was intubated. The carboxyhemoglobin level was 28 percent. The results
Hours 3 through 6
Hour 11
Hour 15
Days 2 and 3
Days 4 and 5
Weeks 2, 3, and 4
Month 1
Discussion of Management
Resuscitation and Critical Care of Patients with Burns
Surgical Treatment of Burns
Rehabilitation of Patients with Burns
Source Information
From the Burn and Trauma Services (R.L.S., J.T.S., C.M.R.) and the Department of Radiology (P.J.M.), Massachusetts General Hospital; the Shriners Hospital for Children (R.L.S., J.T.S., C.M.R.); and the Departments of Surgery (R.L.S., J.T.S., C.M.R.) and Radiology (P.J.M.), Harvard Medical School all in Boston.
Related Letters:
Case 6-2004: Severe Burns from a Nightclub Fire
Borron S. W., Mégarbane B., Baud F. J., Sheridan R., Schultz J., Ryan C.
Extract |
Full Text |
PDF
N Engl J Med 2004;
350:2314, May 27, 2004.
Correspondence
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