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Is Smoke And Ash Inhalation A Form of Catastrophic Burn Injury?

Over the last decade, forest fires and guide-prescribed fires in California have exponentially grown. They have become fiercer and stronger simultaneously, causing burn injuries and smoke inhalation deaths everywhere. With nature’s contribution to the Santa Ana winds blowing, these wildfires have raged across the state, leaving structural destruction and vegetation devastation in their way.

It’s not only California but also the guide prescribed fires, pole creek fires, Southern forests fires, and more in Utah and other states that have affected the country. However, these wildfires have also caused chaos among residents. People evacuate their homes, leaving everything behind without knowing if they’ll ever see their property again.

Some are lucky, while others lose everything to the fire, from physical property damage to emotional trauma, losing their loved ones, and more. Breathing in these fires can harm humans, affecting their way of life.

Besides inhalation-related wildfires, there have been outbreaks of structural fires within the counties and cities of California. This causes severe pollution, affecting business owners, home renters, and other groups. If you’ve gotten hurt in a fire or are suffering breathing difficulties from smoke ash inhalation due to someone else’s negligence, immediately contact Ehline Law and our Los Angeles personal injury lawyers, as you might be eligible for compensation.

How Does Smoke and Ash Cause Smoke Inhalation Injuries?

The human body runs on many things, but oxygen is crucial. When we breathe oxygen, it enters our lungs, and from there, it makes its way to the bloodstream and into the red blood cells, where it is consumed for normal bodily functions.

However, when smoke inhalation occurs, carbon monoxide or carbon dioxide particles enter the lungs, replacing the oxygen particles in the red blood cells. This causes smoke inhalation injuries, affecting the respiratory system first and then making its way to the organs, mainly causing slow brain damage. Smoke ash inhalation can happen from wildfires, home fires, cigarette smoke, pollution, etc.

Smoke and ash inhalation often results in catastrophic burn injuries. Three types of damage occur when breathing in smoke and ash: temperature damage from the heat in the smoke, damage from harmful chemicals in the smoke, and damage from the ash settling in the respiratory tract, affecting the nasal passages, bronchi, alveoli, and more.

Symptoms of Smoke Inhalation Injuries

Unlike natural gas, which does not have any odor or color, it is difficult to detect. Thick clouds of smoke and ash are visible as fire ravages, making it easier for individuals to avoid. However, those stuck in places or waiting for fire services to get them out of a burning building are the ones who get smoke ash inhalation-related injuries.

Here are some smoke inhalation symptoms you can experience if you inhale too much smoke or ash:

  • Breathing difficulties
  • Coughing
  • Headache
  • Red eyes
  • Burning
  • Skin becomes burned
  • And more.

Before a hospital can start treating a smoke injury victim, it must evaluate the patient’s condition. The patient must undergo specific tests, such as a chest CT scan, complete blood count, and pulmonary functioning testing.

Medical treatment for smoke inhalation victims is often complicated and requires considerable recovery before the patient restores their breathing to acceptable levels and returns to their life. Treatments are expensive, and the financial loss from smoke injuries and social loss due to post-traumatic stress disorder is high, which can affect your life further if you’re paying from your pocket.

Smoke and ash inhalation often come with catastrophic burn injuries to children, the elderly, and individuals with respiratory problems like asthma.

Can You Get Burn Injuries from Breathing Smoke Ash?

When a victim experiences catastrophic burn injuries, they also end up having inhalation injuries as these come together. More than 500 wildfires have happened in California, and the level of destruction they caused has been undeniable, with many homes and properties destroyed while some were injured and a few lost their lives to it.

The fast-blowing winds in the state do not help but further worsen it as it increases the spread rate, not giving enough time for residents to evacuate with their belongings or livestock. Property owners who try to safeguard their property or livestock before evacuating often underestimate the rate of the fire receiving burn injuries in the process. Those running through excessive heat to evacuate and avoid the fire end up breathing smoke ash and suffering a catastrophic burn injury.

Even after evacuation alerts get issued, some residents refuse to leave their homes and property behind, willing to accept the consequences of the wildfire and damage caused by smoke inhalation.

National Fire Protection Association Fire Statistics

In 2019, the United States saw more than 1.3 million fires, causing over 3,700 deaths, and 16,000 got burn injuries affecting their respiratory health. It was also reported that the state fires caused more than $14.8 billion in damages. More than 70% of the injuries and deaths resulted from home fires, suggesting that the surviving victims might be undergoing smoke and ash injuries besides the catastrophic burn injuries due to breathing smoke ash flaming hot. The resulting respiratory distress from heat and toxic chemicals can cause more than just chemical irritation; it can kill. (Can convert to sulfur dioxide and even hydrogen cyanide, causing lung disease and chemical asphyxiation).

Those victims with worse respiratory system conditions are the ones that are sleeping when the fire breaks, giving them less time to react and get to safety from the smoke produced. This is why Federal government agencies and local state laws are creating awareness about installing smoke detectors. The idea is to provide more respiratory protection by giving enough warning time to sleeping residents, minimizing the damage.

Contact Ehline Law for Legal Advice

We are expert Los Angeles smoke inhalation injury lawyers. Our injury law firm and attentive, caring staff are ready to offer you free legal advice over the phone. You shouldn’t be the one to shoulder the financial burden from inhalation injuries, and our lawyers are here to help determine claims, file a lawsuit and get you the compensation you need to pay for the medical bills. We understand injuries can put a victim in a dark place. But our lawyers have the right experience to get your life back on track.

Contact us for more information about forming an attorney-client relationship so you can seek compensation before the expiration of the statute of limitations. If you’ve got a smoke inhalation injury and it was not your fault, contact us at (213) 596-9642.

Citations:

https://ameriburn.org/who-we-are/media/burn-incidence-fact-sheet

https://www.nfpa.org/News-and-Research/Data-research-and-tools/US-Fire-Problem/Fire-loss-in-the-United-States

How Long Does Electricity Stay In My Body After Being Shocked?

An electric current from a live wire can kill a human being, and each year in the United States, more than 1,000 people die of serious burns from an electric shock. Upon contact with a live wire or lightning, the electric current enters the body and flows through the body as it exits from one end resulting in electrical burns and, in many cases, thermal burns.

I am Los Angeles burn injury lawyer Michael Ehline. I am lead counsel for Ehline Law Firm Personal Injury Attorneys, APLC. I am an expert in electrical burns and a former licensed C47 contractor with special knowledge and skill in California building codes and electrical laws.

What Is an Electrical Shock?

The violent response from an electrical flow through the body is what experts refer to as an electrical shock. There are two types of electrical injury a victim may receive; primary and secondary.

Primary electrical injuries include burned skin, tissue damage, and other internal injuries from the flow of electricity. In contrast, secondary electrical injury refers to indirect damage from the current, like falling, as the shock can be enough to throw a human around.

Electrocution occurs when an individual dies when in contact with an electric current. The electric source could be from lightning strikes, stun guns, exposed wire extension cords touching metal objects, and anything else not at the negative ground.

All the damage from associated burns and nerve damage can take ten days or more to develop. The burn damage is often relegated to the area where the electricity passes through or leaves the body. In some cases, blood vessels may be damaged or destroyed as the electricity passes through your body.

How Much Current from an Electric Shock Is Dangerous to Humans?

Humans are great conductors of electric currents due to the tissues and blood cells, and the amount of current that flows through the human body determines the damage. The electric current heat the tissues and stimulates the muscles, which can result in many different injuries ranging from a fall to a cardiac arrest.

Let’s look at the milliamperes (mA) needed for the following estimated effects of 60 Hz AC currents:

  • One mA – Does not cause any injuries
  • 16 mA – Enough to hold and let go by a person (visible injuries)
  • 20 mA – Respiratory muscles paralysis
  • 2 A – Cardiac standstill with internal damage to the organs
  • 20 A – Tripping of fuse breaker.

A relatively meager amount of electricity can cause physical damage to a current electrical victim considering 20 A can trip a fuse breaker.

Skin Resistance and Electrical Injuries

The skin provides the highest resistance to an electrical current in the human body, and dry, damaged skin (calloused hand) has even higher resistance. However, underneath the skin, the cells and blood offer the least resistance due to their wet nature and are great conductors of electricity.

High-voltage electricity can break skin resistance, causing cuts and allowing the current to pass through a person, and more current passes through if there are fluctuations in the voltage.

Coming into contact with water can also break skin resistance delivering a nasty electrical shock that can kill or maim an individual with burn injuries in extreme situations.

Large and fluctuating voltages can cause electroporation and cell membrane damage, which can happen if coming into contact with an electric cord or electrical outlets.

Does Electricity Stay in the Body?

Although electrons are present in the body, they are harmless unless these electrons get charged. When coming into contact with a live wire, the electricity flows through the body charging these electrons that start to move incredibly fast, resulting in internal injuries.

Electricity does not stay in the body but passes through, charging the electrons that cause damage to the victim. Electricity travels at the speed of light, so there is no way for it to stay in a body but travel through it, exiting from any point.

When Should You Call for Help?

You should contact a family medicine doctor or call a local emergency number immediately if you start to feel the symptoms of an electric shock.

There are many different symptoms of an electric shock, but those that warrant a quick call to local medical professionals are as follows:

  • Fever
  • Increased swelling and blistering
  • Breathing difficulties
  • Change of color in urine
  • Weak muscles
  • Pus draining.

If you’re unsure whether or not you need medical treatment, contact the local emergency number, which will provide medical advice based on your situation or symptoms. (tingling sensation, numbness, loss of consciousness, weakness, infection, loss of motor function, heart arrhythmias, or loss of use of limbs.).

You’ll be treated fairly and with compassion during our free consultation to discuss our legal services and identify any parties with liability to pay your medical bills, pain, suffering, and other emergency hospital expenses. Don’t delay; you could blow the statute of limitations for a civil case.

Contact Ehline Law for Your Electrical Injury Today

Get a free consultation with our expert Los Angeles personal injury attorneys today for a case evaluation. For example, our Healthwise logo of the Griffin protecting justice says it all. When victims seek legal aid after severe nerve damage, burns, scalds, or other injuries occur, burn victims can count on us.

If you’ve got electrical injuries that were not your fault, you may be eligible for compensation for your losses. Contact us at (213) 596-9642 before the danger and warning signs become more severe.

The Need for Education on Prehospital Burn Management in a Combat Zone

A study revealed that the prehospital burn management in a combat zone resulted in the affected troops receiving higher levels of prehospital fluids or no fluids at all. Ehline Law and our burn injury attorneys have worked closely with veterans and those actively serving to understand their problems and fight for the compensation they deserve. Here, we will review the practical realities of fluid resuscitation and some solutions.

The Modified Brooke and Parkland Formula

To calculate the required fluid requirements for a burn victim, the medics may use the following two formulas:

  • Modified Brooke formula: Under the modified Brooke formula, medics must multiply 2mls by the body surface areas burned (BSAB) and then multiply that by the victim’s weight.
  • Parkland formula: Under the modified Brooke formula, medical professionals must multiply 4mls by the body surface areas burned (BSAB) and then multiply that by the victim’s weight.

Both formulas help the medical professional calculate the first 24-hour fluid requirement with half of the fluids administered during the first 8 hours. However, these formulas may be unrealistic before fluid resuscitation in a prehospital setting.

The USAISR Rule of 10

The USAISR (Department of Defense’s primary laboratory for developing solutions to trauma and critical care challenges) Rule of 10 formula provides a helpful framework for guiding the initial fluid resuscitation of burn victims to prevent shock and optimize outcomes in the early stages of the burn injury.

Under the Rule of 10, the medic rounds of the burn size to the nearest 10% total body surface area. For burn victims weighing between 40 and 80 kg, the medic multiplies the burn size by 10 to derive the initial fluid rate. For every 10 kilograms of weight above 80 kg, the medic must increase the rate of fluid by 100 ml/hour.

Let’s look at an example of a burn victim who weighs 90 kg and has burn injuries over 10% of their TBSA. The medic would administer 100 ml/hour (10 multiplied by 10) of fluids plus another 100 ml/hour since the victim is 90 kgs.

In most cases, the USAISR Rule of 10 estimates falls between the estimates derived using the modified Brooke and Parkland formula.

Prehospital Fluid Resuscitation Study Identifies the Need for Educating Prehospital Personnel

A study examined the US burn casualties arriving at the Ibn Sina Combat Support Hospital (CSH) between 2006 and 2009. During the study period, the hospital received 255 burn casualties, with only 48 of them meeting the inclusion criteria (mean injury severity score of 37.1). Around 50% of the 48 received prehospital vascular access, while 20 received prehospital fluid resuscitation.

According to the study’s findings, 28 of the burn casualties did not receive prehospital fluid resuscitation. In contrast, those that received fluid resuscitation received fluid volumes higher than the American Burn Association guidelines (ABA). Only 13 of the 48 burn casualties received pain medication.

Observations Support Improved Education

The study revealed that half did not receive any fluid resuscitation in a prehospital setting. On the other hand, the other burn casualties received fluid resuscitation over ABA and Committee for Tactical Combat Casualty Care guidelines on fluid volumes. The medics also did not provide pain management uniformly to major burn casualties and vascular access.

The findings suggest the need for better education of the prehospital personnel serving in a combat zone for prehospital fluid resuscitation of primary thermal injury.

Schedule a Free Consultation with Ehline Law Burn Injury Lawyers for Tactical Combat Casualty Care

If you’ve suffered burn injuries due to another’s negligence or recklessness, contact us at (833) LETS-SUE for a free consultation with our burn injury attorneys, as you may be able to seek compensation. We will do the surgical research and grab this bull by the horns to discuss specific prehospital lifesaving interventions and more.