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Inhalation injury after a landmine explosion: a case report
Woojung Kim1,2, Donghoon Kim1,3,4, Sung Yub Jeong1,5
1Armed Forces Trauma Center, Armed Forces Capital Hospital, Seongnam, Korea.
Journal of Trauma and Injury
|October 9, 2024
Summary
This case report details the first instance of inhalation injury caused by a landmine explosion. Early intubation and aerosol therapy were crucial in managing this rare blast injury complication.
Area of Science:
- Trauma Surgery
- Emergency Medicine
- Military Medicine
Background:
- Blast injuries are classified into four categories, with inhalation injury being the fourth.
- Inhalation injuries pose critical risks, including airway obstruction due to edema and potential pneumonia.
- Early diagnosis and intervention, including intubation, aerosol therapy, and antibiotics, are vital for managing inhalation injuries.
Observation:
- A case of inhalation injury was identified in a victim who sustained a leg amputation from an antipersonnel landmine explosion.
- The patient presented with suspected inhalation injury despite the landmine's localized effect.
- Immediate intubation was performed to secure the airway, followed by acetylcysteine/heparin aerosol therapy and antibiotics for pneumonia.
Findings:
- The patient received timely treatment for inhalation injury and subsequent pneumonia.
- Extubation was successful on the third day without airway complications.
- This represents the first documented case of inhalation injury resulting from a landmine blast.
Implications:
- Highlights the potential for unexpected inhalation injuries in landmine blast victims.
- Emphasizes the importance of considering inhalation injury in diverse blast scenarios, even those typically associated with localized trauma.
- Underscores the critical role of prompt airway management and supportive therapies in improving outcomes for these rare injuries.
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