TY  - JOUR
PY  - 2013//
TI  - Smoke inhalation injury during enclosed-space fires: an update
JO  - Jornal Brasileiro de Pneumologia
A1  - Antonio, Ana Carolina Peçanha
A1  - Castro, Priscylla Souza
A1  - Freire, Luiz Octavio
SP  - 
EP  - 
VL  - 39
IS  - 3
N2  - In view of the tragic fire at a nightclub in the city of Santa Maria, Brazil, which culminated in the sudden death of 232 young people, we decided to review the literature regarding smoke inhalation injury caused by enclosed-space fires, which can be divided into direct thermal damage, carbon monoxide poisoning, and cyanide poisoning. Such injuries often call for immediate orotracheal intubation, either due to acute airway obstruction or due to a reduced level of consciousness. The diagnosis and the severity of the thermal injury can be determined by fiberoptic bronchoscopy. The levels of gases and gas by-products in the bloodstream should be assessed as rapidly as possible, even while still at the scene of the incident. First responders can also treat carbon monoxide poisoning, with immediate administration of oxygen at 100%, as well as cyanide poisoning, with oxygen therapy and hydroxocobalamin injection.<p />  <p>Language: en</p>
LA  - en
SN  - 1806-3713
UR  - http://dx.doi.org/10.1590/S1806-37132013000300016
ID  - ref1
ER  -