Assuntos
Traumatismos por Explosões , Tomografia Computadorizada por Raios X , Humanos , Traumatismos por Explosões/diagnóstico , Traumatismos por Explosões/complicações , Traumatismos por Explosões/etiologia , Masculino , Explosões , Doença Crônica , Órbita/lesões , Órbita/diagnóstico por imagem , AdultoRESUMO
PURPOSE: To report cases of acute globe rupture and bilateral corneal burns from electronic cigarette (EC) explosions. METHODS: Case series. RESULTS: We describe a series of patients with corneal injury caused by EC explosions. Both patients suffered bilateral corneal burns and decreased visual acuity, and one patient sustained a unilateral corneoscleral laceration with prolapsed iris tissue and hyphema. A review of the scientific literature revealed no prior reported cases of ocular injury secondary to EC explosions; however, multiple media and government agency articles describe fires and explosions involving ECs, including at least 4 with ocular injuries. CONCLUSIONS: Given these cases and the number of recent media reports, ECs pose a significant public health risk. Users should be warned regarding the possibility of severe injury, including sight-threatening ocular injuries ranging from corneal burns to full-thickness corneoscleral laceration.
Assuntos
Traumatismos por Explosões/etiologia , Lesões da Córnea/etiologia , Sistemas Eletrônicos de Liberação de Nicotina/efeitos adversos , Explosões , Queimaduras Oculares/etiologia , Lacerações/etiologia , Esclera/lesões , Adolescente , Traumatismos por Explosões/diagnóstico , Lesões da Córnea/diagnóstico , Queimaduras Oculares/diagnóstico , Traumatismos Faciais/etiologia , Humanos , Lacerações/diagnóstico , Masculino , Pessoa de Meia-Idade , Acuidade VisualRESUMO
Las lesiones ocacionadas por artefactos pirotécnicos y/o explosivos son altamente incapacitantes, constituyendo un problema de salud pública. Se estudiaron 25 paciente, 96 por ciento del sexo masculino, el grupo etario mas afectado estuvo entre 16 y 25 años con 40 por ciento. 92 por ciento eran dextromanos: la mano izquierda se lesionó en un 72 por ciento. Las lesiones más frecuentes fueron las amputaciones parciales en el 19,23 por ciento y las heridas del espacio interdigital en 17,95 por ciento; el pulgar fue afectado en el 96 por ciento. La influencia del alcohol estuvo presente en el 80 por ciento, siendo estos procedencia ilegal en el 84 por ciento.
Assuntos
Humanos , Masculino , Adolescente , Adulto , Feminino , Acidentes por Explosivos/efeitos adversos , Amputação Traumática/cirurgia , Traumatismos da Mão/diagnóstico , Traumatismos por Explosões/diagnóstico , Ortopedia , TraumatologiaRESUMO
BACKGROUND: Descriptive study of physical injuries and implemented organization from a nearby, unwarned university hospital after the July 18, 1994, bombing of the seven-story Argentine Israeli Mutual Association (AMIA) building in Buenos Aires. Data were obtained from hospital medical records. RESULTS: A total of 86 victims arrived at the emergency department, 2 victims were dead on arrival, 41 victims were admitted, and 43 victims with minor injuries were assisted and allowed to go home. The explosion caused a total of 86 deaths and left more than 200 people injured. Mortality rate among hospitalized survivors was 8.3% and among critically injured victims was 28.6%. CONCLUSION: The total collapse of a multiple-story building immediately kills most of its occupants. In the present study, the few surviving victims were located at the lower floors. The majority of hospitalized victims were outside the building at the moment of the blast. Rapid overcrowding of the emergency department with minor and moderate injuries that do not require hospitalization should be anticipated by disaster management plans. Centralization of severely injured patients in critical areas seems appropriate, because this method keeps major cases from spreading through different wards.