Smoke inhalation injury - Revision history

Rossdonaldson1: /* Differential Diagnosis */

2023-11-08T20:35:28Z

Differential Diagnosis

← Revisión anterior		Revisión del 20:35 8 nov 2023
Línea 39:		Línea 39:
	{{Burn DDX}}		{{Burn DDX}}
	{{Inhalation exposure}}		{{Inhalation exposure}}
			{{Toxic gas exposure DDX}}

	==Evaluation==		==Evaluation==

ClaireLewis at 04:20, 21 April 2021

2021-04-21T04:20:06Z

← Revisión anterior		Revisión del 04:20 21 abr 2021
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	==Evaluation==		==Evaluation==
	*Assess ABCs, [[burns]] resuscitation		*Assess ABCs, [[burns]] resuscitation
	*ABG or VBG, carboxyhemoglobin		*[[ABG]] or VBG, carboxyhemoglobin
	*[[ECG]], monitor on telemetry		*[[ECG]], monitor on telemetry
	*[[Chest x-ray]]		*[[Chest x-ray]]
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	**Major burns over 40-60% of [[Estimating body surface area\|body surface area]]		**Major burns over 40-60% of [[Estimating body surface area\|body surface area]]
	''Remember, the intubation will only get more difficult as edema worsens!''		''Remember, the intubation will only get more difficult as edema worsens!''
	*Bronchodilators if evidence of bronchospasm		*[[Bronchodilators]] if evidence of bronchospasm
	*See [[Carbon monoxide toxicity]]		*See [[Carbon monoxide toxicity]]
	*See [[Cyanide toxicity]]		*See [[Cyanide toxicity]]

Elcatracho: /* See Also */

2021-04-19T09:48:44Z

Elcatracho: /* Management */

2021-04-19T09:47:46Z

Management

← Revisión anterior		Revisión del 09:47 19 abr 2021
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	**Full thickness burns to face or perioral region		**Full thickness burns to face or perioral region
	**Circumferential neck burns		**Circumferential neck burns
	**Major burns over 40-60% of body surface area		**Major burns over 40-60% of [[Estimating body surface area\|body surface area]]
	''Remember, the intubation will only get more difficult as edema worsens!''		''Remember, the intubation will only get more difficult as edema worsens!''
	*Bronchodilators if evidence of bronchospasm		*Bronchodilators if evidence of bronchospasm

ClaireLewis at 18:23, 13 October 2019

2019-10-13T18:23:28Z

← Revisión anterior		Revisión del 18:23 13 oct 2019
Línea 13:		Línea 13:
	*Carbonaceous sputum		*Carbonaceous sputum
	*Singed nasal or facial hair		*Singed nasal or facial hair
	*Dyspnea, stridor, drooling, dysphonia, respiratory distress		*[[Dyspnea]], [[stridor]], drooling, [[dysphonia]], [[respiratory distress]]

	===Chemical injury===		===Chemical injury===
	''Varies depending on substance burned in fire''		''Varies depending on substance burned in fire''
	*Acrolein: found in wood and petroleum		*Acrolein: found in wood and petroleum
	**Pulmonary edema, bronchorrhea, bronchospasm, VQ mismatch which can cause hypoxemia		**[[Pulmonary edema]], bronchorrhea, bronchospasm, VQ mismatch which can cause [[hypoxemia]]
	**Tearing, conjunctivitis		**Tearing, [[conjunctivitis]]
	*Hydrochloric acid: product of polyvinyl chloride (structural component of high-rise buildings, plastics) combustion.		*[[Hydrochloric acid]]: product of polyvinyl chloride (structural component of high-rise buildings, plastics) combustion.
	**Can persist in air up to an hour after fire extinguished		**Can persist in air up to an hour after fire extinguished
	**PVCs and other ~~arrythmias~~		**PVCs and other [[arrhythmias]]
	**Delayed onset (2-12 hours) pulmonary edema		**Delayed onset (2-12 hours) [[pulmonary edema]]
	**~~Dypsnea~~, chest pain		**[[Dyspnea]], [[chest pain]]
	*Tuolene diisocyanate: seat cushions, carpet, insulation		*Tuolene diisocyanate: seat cushions, carpet, insulation
	**Severe bronchospasm		**Severe bronchospasm
	*Nitrogen dioxide: fires involving automobiles, agrecultural waste		*Nitrogen dioxide: fires involving automobiles, agrecultural waste
	**Uncommon but brief exposure can be lethal		**Uncommon but brief exposure can be lethal
	**Severe bronchospasm, laryngospasm, pulmonary edema		**Severe bronchospasm, laryngospasm, [[pulmonary edema]]
	**Later: interstitial lung disease		**Later: [[interstitial lung disease]]

	===Systemic chemical injury===		===Systemic chemical injury===
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	*ABG or VBG, carboxyhemoglobin		*ABG or VBG, carboxyhemoglobin
	*[[ECG]], monitor on telemetry		*[[ECG]], monitor on telemetry
	*Chest x-ray		*[[Chest x-ray]]
	*Low ~~threshhold~~ for direct or video laryngoscopy, fiberoptic airway eval		*Low threshold for direct or video [[laryngoscopy]], fiberoptic airway eval

	==Management==		==Management==
	'''AIRWAY'''		'''AIRWAY'''
	*Intubate if:		*[[Intubate]] if:
	**Respiratory distress, respiratory depression, or altered mental status		**Respiratory distress, respiratory depression, or altered mental status
	**Progressive hoarseness		**Progressive hoarseness

Rossdonaldson1 at 21:10, 17 August 2019

2019-08-17T21:10:44Z

← Revisión anterior		Revisión del 21:10 17 ago 2019
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	[[Category:Trauma]]		[[Category:Trauma]]
			[[Category:Pulmonary]]

Rossdonaldson1: /* Differential Diagnosis */

2019-08-17T21:09:39Z

Differential Diagnosis

← Revisión anterior		Revisión del 21:09 17 ago 2019
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Burn DDX}}		{{Burn DDX}}
			{{Inhalation exposure}}

	==Evaluation==		==Evaluation==

Rossdonaldson1: /* Disposition */

2019-08-08T17:44:38Z

Disposition

← Revisión anterior		Revisión del 17:44 8 ago 2019
Línea 61:		Línea 61:

	==Disposition==		==Disposition==
			* Respiratory distress or airway compromise will need admission
			* Observe for 1-4 hours if no signs or symptoms of inhalation injury develop or if all resolved within 1 hour consider discharging patient home with instructions for return for re-evaluation next day or sooner if pulmonary and/or airway symptoms develop

	==See Also==		==See Also==

Rossdonaldson1: /* See Also */

2019-08-08T17:39:20Z

Rossdonaldson1: Text replacement - "ECG" to "ECG"

2016-11-03T12:46:16Z

Text replacement - "*ECG" to "*ECG"

← Revisión anterior		Revisión del 12:46 3 nov 2016
Línea 42:		Línea 42:
	*Assess ABCs, [[burns]] resuscitation		*Assess ABCs, [[burns]] resuscitation
	*ABG or VBG, carboxyhemoglobin		*ABG or VBG, carboxyhemoglobin
	*ECG, monitor on telemetry		*[[ECG]], monitor on telemetry
	*Chest x-ray		*Chest x-ray
	*Low threshhold for direct or video laryngoscopy, fiberoptic airway eval		*Low threshhold for direct or video laryngoscopy, fiberoptic airway eval

← Revisión anterior		Revisión del 09:48 19 abr 2021
Línea 70:		Línea 70:
	**[[Carbon monoxide toxicity]]		**[[Carbon monoxide toxicity]]
	**[[Cyanide toxicity]]		**[[Cyanide toxicity]]
			*[[Intubation]]

	==External Links==		==External Links==

← Revisión anterior		Revisión del 17:39 8 ago 2019
Línea 63:		Línea 63:

	==See Also==		==See Also==
			*[[Inhalation injury]]
	*[[Burns]]		*[[Burns]]
	**[[Carbon monoxide toxicity]]		**[[Carbon monoxide toxicity]]

Smoke inhalation injury - Revision history

Rossdonaldson1: /* Differential Diagnosis */

ClaireLewis at 04:20, 21 April 2021

Elcatracho: /* See Also */

Elcatracho: /* Management */

ClaireLewis at 18:23, 13 October 2019

Rossdonaldson1 at 21:10, 17 August 2019

Rossdonaldson1: /* Differential Diagnosis */

Rossdonaldson1: /* Disposition */

Rossdonaldson1: /* See Also */

Rossdonaldson1: Text replacement - "*ECG" to "*ECG"

Rossdonaldson1: Text replacement - "ECG" to "ECG"