An unusual presentation of inhalation injury in a patient with high voltage electrical injury: A case report. (Record no. 5955)

MARC details
000 -LEADER
fixed length control field 03338nam a22004217a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 201231s20202020 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2210-2612
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.ijscr.2020.10.139 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC7683282 [pmc]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S2210-2612(20)31026-9 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 33217653
245 ## - TITLE STATEMENT
Title An unusual presentation of inhalation injury in a patient with high voltage electrical injury: A case report.
251 ## - Source
Source International Journal of Surgery Case Reports. 77:357-361, 2020 Nov 04.
252 ## - Abbreviated Source
Abbreviated source Int J Surg Case Rep. 77:357-361, 2020 Nov 04.
253 ## - Journal Name
Journal name International journal of surgery case reports
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2020
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2021
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status aheadofprint
266 ## - Date added to catalog
Date added to catalog 2020-12-31
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Electrical injuries comprise a minority of burn center admissions but are associated with significant morbidity and mortality. This is a case of a patient who suffered high-voltage electrical injury who survived despite developing several sequalae, who had an unusual presentation of inhalation injury complicated by the aspiration of metal screws.
520 ## - SUMMARY, ETC.
Abstract CASE PRESENTATION: This is a 20-year-old male who suffered electrical contact injury, and 45.5% total body surface area (TBSA) burns from electrothermal discharge and subsequent ignition of clothing, whose hospital course was complicated by rhabdomyolysis, compartment syndrome, renal failure, and inhalation injury. After cardiac arrest with successful defibrillation and intubation in the field, he was found to have metallic foreign bodies in his airway. Metal screws were retrieved using rigid bronchoscopy and lower extremity escharotomy was performed for compartment syndrome. He was placed on renal replacement therapy for persistent acidosis and severe rhabdomyolysis. On post-burn day (PBD) 3 he developed severe hypoxia and bronchoscopy showed evidence of inhalation injury. This was treated with protocolized nebulizer treatments, prone-positioning, early tracheostomy, and frequent bronchoscopy. Over his hospital course he required lower extremity amputation and numerous excision and grafting procedures. Ultimately, he exhibited renal and respiratory recovery. He was discharged on PBD 75 to a rehabilitation hospital.
520 ## - SUMMARY, ETC.
Abstract CONCLUSIONS: This case highlights that electrical injuries are associated with serious sequelae that can be overt or occult. Clinicians must maintain a high index of suspicion for comorbid conditions with electrically injured patients given variable presentations and the need for prompt, aggressive, and complex management. Copyright (c) 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Health Research Institute
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Firefighters' Burn and Surgical Research Laboratory
656 ## - INDEX TERM--OCCUPATION
Department Surgery/Burn Services
657 ## - INDEX TERM--FUNCTION
Medline publication type Case Reports
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Johnson, Laura
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Keyloun, John W
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Shupp, Jeffrey W
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Travis, Taryn E
790 ## - Authors
All authors Johnson LS, Keyloun JW, Shupp JW, Travis TE
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.ijscr.2020.10.139">https://dx.doi.org/10.1016/j.ijscr.2020.10.139</a>
Public note https://dx.doi.org/10.1016/j.ijscr.2020.10.139
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 12/31/2020   33217653 33217653 12/31/2020 12/31/2020 Journal Article

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