Inhalation injury after a landmine explosion: a case report
Blast injuries are divided into four classes, and inhalation injuries are a quaternary class of blast injuries. An inhalation injury can be critical to the patient due to the possibility of related complications, such as airway obstruction resulting from upper airway edema and pneumonia. Once diagno...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2022-08-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0005.pdf |
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| _version_ | 1841527086430289920 |
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| author | Woojung Kim Donghoon Kim Sung Yub Jeong Yoonhyun Lee Hojun Lee |
| author_facet | Woojung Kim Donghoon Kim Sung Yub Jeong Yoonhyun Lee Hojun Lee |
| author_sort | Woojung Kim |
| collection | DOAJ |
| description | Blast injuries are divided into four classes, and inhalation injuries are a quaternary class of blast injuries. An inhalation injury can be critical to the patient due to the possibility of related complications, such as airway obstruction resulting from upper airway edema and pneumonia. Once diagnosed, an inhalation injury should be treated with early intubation, aerosol therapy, and antibiotics as soon as possible. We should suspect this injury in circumstances involving fire and especially bomb attacks in a military setting. Antipersonnel landmines designed to damage the soldier by amputating the leg can cause blast injuries, but their power is limited to the lower extremity. However, we found an inhalation injury in a victim whose leg had been amputated by an antipersonnel landmine. As soon as we suspected an inhalation injury, we intubated the patient to preserve his airway and started acetylcysteine/heparin aerosol therapy. The patient also was treated with proper antibiotics for right lower lung pneumonia that developed as a sequela of inhalation injury. We could extubate the patient without any complications such as airway obstruction on the third day of intensive care, after which the patient was transferred to the general ward for active rehabilitation. This report presents the first known case of inhalation injury due to a landmine explosion. |
| format | Article |
| id | doaj-art-3ad83fa585024031b279a497ea3754f0 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2022-08-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-3ad83fa585024031b279a497ea3754f02025-01-16T04:51:18ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832022-08-0135Suppl 1S35S3910.20408/jti.2022.00051199Inhalation injury after a landmine explosion: a case reportWoojung Kim0Donghoon Kim1Sung Yub Jeong2Yoonhyun Lee3Hojun Lee4 Armed Forces Trauma Center, Armed Forces Capital Hospital, Seongnam, Korea Armed Forces Trauma Center, Armed Forces Capital Hospital, Seongnam, Korea Armed Forces Trauma Center, Armed Forces Capital Hospital, Seongnam, Korea Armed Forces Trauma Center, Armed Forces Capital Hospital, Seongnam, Korea Armed Forces Trauma Center, Armed Forces Capital Hospital, Seongnam, KoreaBlast injuries are divided into four classes, and inhalation injuries are a quaternary class of blast injuries. An inhalation injury can be critical to the patient due to the possibility of related complications, such as airway obstruction resulting from upper airway edema and pneumonia. Once diagnosed, an inhalation injury should be treated with early intubation, aerosol therapy, and antibiotics as soon as possible. We should suspect this injury in circumstances involving fire and especially bomb attacks in a military setting. Antipersonnel landmines designed to damage the soldier by amputating the leg can cause blast injuries, but their power is limited to the lower extremity. However, we found an inhalation injury in a victim whose leg had been amputated by an antipersonnel landmine. As soon as we suspected an inhalation injury, we intubated the patient to preserve his airway and started acetylcysteine/heparin aerosol therapy. The patient also was treated with proper antibiotics for right lower lung pneumonia that developed as a sequela of inhalation injury. We could extubate the patient without any complications such as airway obstruction on the third day of intensive care, after which the patient was transferred to the general ward for active rehabilitation. This report presents the first known case of inhalation injury due to a landmine explosion.http://jtraumainj.org/upload/pdf/jti-2022-0005.pdfblast injuryinhalation injurymilitary personnelexplosive agentscase reports |
| spellingShingle | Woojung Kim Donghoon Kim Sung Yub Jeong Yoonhyun Lee Hojun Lee Inhalation injury after a landmine explosion: a case report Journal of Trauma and Injury blast injury inhalation injury military personnel explosive agents case reports |
| title | Inhalation injury after a landmine explosion: a case report |
| title_full | Inhalation injury after a landmine explosion: a case report |
| title_fullStr | Inhalation injury after a landmine explosion: a case report |
| title_full_unstemmed | Inhalation injury after a landmine explosion: a case report |
| title_short | Inhalation injury after a landmine explosion: a case report |
| title_sort | inhalation injury after a landmine explosion a case report |
| topic | blast injury inhalation injury military personnel explosive agents case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2022-0005.pdf |
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