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A correction has been published: N Engl J Med 2004;351(4):408.

Case Records of the Massachusetts General Hospital
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Volume 350:810-821 February 19, 2004 Number 8
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Case 6-2004 — A 35-Year-Old Woman with Extensive, Deep Burns from a Nightclub Fire
Robert L. Sheridan, M.D., John T. Schulz, M.D., Ph.D., Colleen M. Ryan, M.D., and Paul J. McGinnis, M.D.

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Presentation of Case

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 . . . [Full Text of this Article]

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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