Blast Injuries Caused by Vape Devices: 2 Case Reports.

Area of Science:

• Medical Devices
• Toxicology
• Public Health

Background:

• Electronic vaporizing devices are widely used as alternatives to conventional nicotine products.
• These devices, powered by lithium-ion batteries, are often perceived as safer.
• However, battery instability can lead to explosions and severe injuries.

Observation:

• Two case reports detail significant injuries from electronic vapor device explosions.
• Case 1: A patient suffered maxillary bone and tooth loss due to combustion injury.
• Case 2: A patient experienced a severe hand blast injury, resulting in digit loss and elevated cobalt and manganese levels.

Findings:

• Explosions from electronic vapor devices can cause devastating injuries, including reconstructive surgery needs and digit amputation.
• Toxicology screening revealed elevated cobalt and manganese levels in one patient, which decreased after surgical intervention.
• No systemic symptoms were noted in the affected patient despite metal elevation.

Implications:

• The lack of federal regulation for electronic cigarettes and vape devices in the US is a growing concern.
• Increased use of these unregulated devices is anticipated to lead to more blast injuries.
• Medical providers must be prepared to manage severe clinical injuries resulting from device malfunctions.