SMOKE TOXICITY AS A SPECIAL DEVELOPING CONDITION IN A MASS FIRE EVENT
Keywords:
smoke inhalation, fire event, burns, poisoning, cyanide, carbon monoxide
Abstract
We present the case of a mass fire event into enclosed space in Bucharest, generating a smoke explosion. We analyzed patient’s lesions and evolution, aiming to appreciate the keystones, key points to learn, and golden standards to establish for fire management, highlighting by molecular docking technique the toxicity of gas resulting from combustion of polymers. Several important lessons were clearly learned from the case, being now constitutive parts of a new concept of intervention, designing and realizing exercises for responders, and ministries with responsibilities to preplan emergency support and evacuation for victims resulting from close space fire events with smoke inhalation, severe poisoning, and extensive burns.
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References
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• US Fire Administration’s (USFA’s) National Fire Incident Reporting System (NFIRS). Fatal Fires in Residential Buildings. US Department of Homeland Security, US Fire Administration. August 2010.
• Xin, Z., Lizhong Y., Kongjin, Z., Xiaoming, K., Ping, R., Taolin Z., Experimental Study of the Impact of Personality Traits on Occupant Exit Choice During Building Evacuation. Procedia Engineering, nr. 62, 2013, p548-553.
• https://ro.wikipedia.org/wiki/Incendiul_din_clubul_Colectiv#cite_note-185
• http://autodock.scripps.edu/resources/references
• Antonio, Acp, Castro, Ps, Freire, L.O., Smoke inhalation injury during enclosed-space fires: an update. Jornal Brasileiro de Pneumologia, 39, no. 3, 2013, p 373-381.
• Ferraris, S.A., Madga, I., Wenlarge J.X., Simulation of the Backdraft Phenomenon and its Mitigation in Compartment Fires with Different Opening Geometries. Combustion Science and Technology, 181, nr. 6, 2009, p 853.
• Goh, S.H., Tiah, L., Lim, H.C. Disaster preparedness: experience from a smoke inhalation mass casualty incident. Eur J Emerg Med, nr. 13, 2006, p 330–334.
• Koenig K.L., Schultz C.H., Koenig and Schultz’s Disaster Medicine: Comprehensive Principles and Practices. Cambridge University Press. 2010, p 423 – 429.
• Ciottone, G., Anderson, Pd., Disaster medicine – Third Edition. Elsevier. 2006, p 790 – 805.
• Tintinalli, J.E., Stapczynski, J. S., Yealy, D.M., Meckler, G.D., Cline, D.M., Tintinalli’s Emergency Medicine: A Comprehensive Study Guide 8th edition. McGraw-Hill Professional. 2016.
• Leopoldo C. Cancio. Airway Management and Smoke Inhalation Injury in the Burn Patient. Clin Plast Surg, 36, no. 4, 2009, p 555-567.
• Hall, J.J., Hunt, J.L., Arnoldo, B.D., Purdue, G.F., Use of high-frequency percussive ventilation in inhalation injuries. J Burn Care Res,28, no. 3, 2007, p 396-400.
• Perenlei, E., Basil A.P., Oscar, S., Mlcak, R., Wolf, S., Pathophysiology, research challenges, and clinical management of smoke inhalation injury. The Lancet, 388, nr. 10052, 2016, p1437–1446.
• Lawson-Smith, P., Jansen, E.C., Hyldegaard, O., Cyanide intoxication as part of smoke inhalation--a review on diagnosis and treatment from the emergency perspective. Scand J Trauma Resusc Emerg Med, 3, no. 19. 2011, p 14.
• Fortin, J.L., Gal, O. Afflux massif de brûlés, prise en charge pré-hospitalière. 25ème congès de la SFETB, Lille 15-17 juin 2005.
• Schuetz, P., Jones, A.E., Aird, W.C., Shapiro, N.I., Endothelial cell activation in emergency department patients with sepsis-related and non-sepsis-related hypotension. Shock, 36, nr. 2, 2011, p 104-108.
• Lange, D.W., Sikma, M.A., Meulenbelt. Extracorporeal membrane oxygenation in the treatment of poisoned patients. J. Clin Toxicol, 51, nr.5, 2013, p 385-393.
How to Cite
1.
Luciana Teodora Rotaru, Mihaela Mormoe, Mihai Banicioiu Covei, Renata Maria Varut. SMOKE TOXICITY AS A SPECIAL DEVELOPING CONDITION IN A MASS FIRE EVENT. Med. res. chronicles [Internet]. 2018Jun.30 [cited 2024Apr.26];5(3):224-30. Available from: https://medrech.com/index.php/medrech/article/view/307
Section
Original Research Article
