More on Critical Burn Patient

 

 
 
 

Ryche Guerrero | | Monday, January 4, 2010


Editor_s Note:This is a bonus article to theJanuary 2010 JEMSCall to Action,"Critical Burn Patient."It includes additional scene, care and transport information.

At about 7:30 p.m. on June 9, a man was smoking a cigarette while pumping gasoline into plastic, 1-gallon gas can at a gas station in the southwestern Houston suburb of Alief. The gas or vapors ignited, catching him and part of the pump on fire. Bystanders and the store clerk tried to help by grabbing a portable sodium phosphate fire extinguisher and putting the fire out. No other injuries were reported, and there was no major structural damage.

When the first responders arrived, they found the man barely conscious, but breathing. He was covered in a grayish-white powder from the extinguisher. He had partial-thickness and full-thickness burns (between 80Ï90%) over most of his body. The bottoms of his feet were the only surface areas unburned. A strong, pungent smell of burnt flesh and plastic filled the air. The patient had also inhaled a substantial amount of the chemical residue from the extinguisher, resulting in additional respiratory issues.

Community Volunteer Fire Department responders made sure the fire and all hot areas were extinguished, covered him with a sterile burn sheet, treated him with oxygen via a non-rebreather mask and administered morphine for pain control. Even though the crews handled the patient with great care, every time he was moved or touched, flakes of skin and powder came off.

Memorial Hermann_s Life Flight helicopter was called to transport the patient to Memorial Hermann Hospital, a Level I trauma center. Upon their arrival, the man tried to speak but was disoriented. With the IVs already in place, emergency personnel lifted the backboarded patient onto their stretcher and prepared to intubate him. The flight paramedic intubated the patient while the flight nurse administered narcotics to diminish his pain. The flight nurse noted that the patient's wrist felt tight and hard, like a rubber ball.

During flight, the crew continued giving the patient pain medication and sedated him to place him in a pharmacological coma so that they could ventilate him without difficulty. The patient did well during the short transport to the hospital.

Once the helicopter arrived at the hospital, he was taken to the decontamination shower where the fire extinguisher residue was removed before he was taken into the emergency department. Once in the ED, critical care procedures were continued and a fasciotomy was immediately performed to relieve the pressure caused by his circumferential burns. Despite the significant care rendered by the prehospital, aeromedical and hospital personnel, the patient later succumbed to his injuries.

Click hereto see the Call to Action photo.




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Airway and Respiratory, Operations and Protcols, Medical Emergencies

 
What's Your Take? Comment Now ...

Featured Careers & Jobs in EMS





 

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Innovation & Progress

Follow in the footsteps of these inspirational leaders of EMS.
More >

Multimedia Thumb

University of Pittsburgh STAAMP Trial

Trauma experts launch tranexamic acid trial.
Watch It >


Multimedia Thumb

New York Ambulance Service Begins Using Power Cot

Service is first in county with new technology.
Watch It >


Multimedia Thumb

Traffic Cam Captures Wisconsin Ambulance Crash

Driver of ambulance cited for failing to operate safely.
Watch It >


Multimedia Thumb

New Mexico Hospital Mourns Helicopter Crash Victims

TriState CareFlight pilot and crew killed in crash.
Watch It >


Multimedia Thumb

Moscow Subway MCI

At least 20 dead and 150 injured in subway derailment.
More >


Multimedia Thumb

Hands On July 2014

Check out the latest products and innovations in JEMS.
More >


Multimedia Thumb

Wounded Veteran Resiliency

Marine is one of many in quality of life study.
More >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

Sneak peek of customizable run forms & more.
Watch It >


Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >


More Product Videos >