Various injury patterns due to combustion (typical but unfamiliar to physicians and easy to miss) in Korea: a case report
Patients transported from fire sites may exhibit various injury patterns. Major trauma, skin burn, inhalation burn, and carbon monoxide poisoning are typical injuries. However, most physicians may be unfamiliar that cyanide poisoning can frequently occur due to combustion. Cyanide poisoning is highl...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2023-12-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2023-0060.pdf |
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| _version_ | 1841527070117593088 |
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| author | Hyung Il Kim |
| author_facet | Hyung Il Kim |
| author_sort | Hyung Il Kim |
| collection | DOAJ |
| description | Patients transported from fire sites may exhibit various injury patterns. Major trauma, skin burn, inhalation burn, and carbon monoxide poisoning are typical injuries. However, most physicians may be unfamiliar that cyanide poisoning can frequently occur due to combustion. Cyanide poisoning is highly significant owing to high mortality and the existence of antidotes. I present a 35-year-old man who was transported from a burning building and suffered severe metabolic acidosis despite no major bleeding as well as mild carbon monoxide poisoning. I suspected cyanide poisoning and administered the antidote; subsequently, the patient showed improvement. The next day, sudden airway obstruction developed, and emergency endotracheal intubation was performed. The inhalation damage was detected only in the lower airway tract and not in the upper airway. Physicians should be aware of cyanide poisoning and inhalation burn to avoid missing treatment opportunities. |
| format | Article |
| id | doaj-art-fd5091ea79f9471cb5a75e8b1ae1d154 |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-fd5091ea79f9471cb5a75e8b1ae1d1542025-01-16T05:40:12ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-12-0136439339810.20408/jti.2023.00601277Various injury patterns due to combustion (typical but unfamiliar to physicians and easy to miss) in Korea: a case reportHyung Il Kim0 Department of Emergency Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan, KoreaPatients transported from fire sites may exhibit various injury patterns. Major trauma, skin burn, inhalation burn, and carbon monoxide poisoning are typical injuries. However, most physicians may be unfamiliar that cyanide poisoning can frequently occur due to combustion. Cyanide poisoning is highly significant owing to high mortality and the existence of antidotes. I present a 35-year-old man who was transported from a burning building and suffered severe metabolic acidosis despite no major bleeding as well as mild carbon monoxide poisoning. I suspected cyanide poisoning and administered the antidote; subsequently, the patient showed improvement. The next day, sudden airway obstruction developed, and emergency endotracheal intubation was performed. The inhalation damage was detected only in the lower airway tract and not in the upper airway. Physicians should be aware of cyanide poisoning and inhalation burn to avoid missing treatment opportunities.http://jtraumainj.org/upload/pdf/jti-2023-0060.pdffirescyanidesburnshydroxocobalamincase reports |
| spellingShingle | Hyung Il Kim Various injury patterns due to combustion (typical but unfamiliar to physicians and easy to miss) in Korea: a case report Journal of Trauma and Injury fires cyanides burns hydroxocobalamin case reports |
| title | Various injury patterns due to combustion (typical but unfamiliar to physicians and easy to miss) in Korea: a case report |
| title_full | Various injury patterns due to combustion (typical but unfamiliar to physicians and easy to miss) in Korea: a case report |
| title_fullStr | Various injury patterns due to combustion (typical but unfamiliar to physicians and easy to miss) in Korea: a case report |
| title_full_unstemmed | Various injury patterns due to combustion (typical but unfamiliar to physicians and easy to miss) in Korea: a case report |
| title_short | Various injury patterns due to combustion (typical but unfamiliar to physicians and easy to miss) in Korea: a case report |
| title_sort | various injury patterns due to combustion typical but unfamiliar to physicians and easy to miss in korea a case report |
| topic | fires cyanides burns hydroxocobalamin case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2023-0060.pdf |
| work_keys_str_mv | AT hyungilkim variousinjurypatternsduetocombustiontypicalbutunfamiliartophysiciansandeasytomissinkoreaacasereport |