February 16, 2011

Third Degree Burns and Smoke Inhalation, gas explosion 2

In the first installment I wrote about the devastating injuries suffered by the mother of 4 children all under the age of 5. The 4 girls were also injured as a result of the gas explosion. This is the story of one of the girls, we will call her "L" to preserve her Identity.

At the time of the explosion "L" was 3 weeks shy of her 3rd birthday. She was a vivacious and fun loving child. As a result of the explosion she suffered third degree burns on 90% of her body. She was hospitalized for almost 4 months. As a result of the explosion she suffered severe damage to the optic nerve in her right eye. Her eye was surgically removed and a prosthetic was implanted. She also became blind in her left eye. The doctors surmised that this was a sympathetic response to the injury in the left eye. She is totally blind.

"L" suffers from Keloid scarring on her hands, face and body. She also suffers from contractures. Her range of motion has been compromised due to the extensive scarring. She suffers from post traumatic stress disorder. She is afraid to sleep alone.

We, (Kramer & Pollack, LLP) immediately got the family in touch with the Jewish Guild for the Blind as well as several other organizations that welcomed "L" with open arms. The circumstances she has endured were enormously devastating. But she has a very strong will and a very positive disposition. She now reads and writes Braille. She has excelled in school. She is a poster child for overcoming adversity and although she is very young she is an inspiration to everyone who knows her.

February 15, 2011

Cooking-Related Burns are Very Common--and Very Preventable!

For most people, food is a truly enjoyable part of life. But when people are careless with hot food, injuries can happen--even 3rd degree burns!

For instance, just last week a couple filed suit in the California courts against Walt Disney Parks and Resorts, claiming their young son suffered "severe burns" as a result of scalding-hot nacho cheese served to them. In the suit, the parents of a four-year-old boy said they were eating dinner at Disney World in Orlando last March when the cheese was spilled on their son's face. The suit says that "the cheese was scalding hot and resulted in severe burns" to the child, and that Disney served the cheese "negligently and carelessly" and made "no effort" to regulate its temperature.

What's more, the suit says the child suffered "permanent scarring, pain and suffering" as a result of the burns, and his parents suffered "emotional distress" from witnessing his agony. The family asked the court for the medical and legal costs incurred, as well as punitive damages.

This story brought back a particularly painful memory for me. When I was five years old, I reached for a slice of pizza that was served to me on a paper plate. But when I picked up the slice and brought it towards my mouth, the oil was so hot that the cheese slid right off the pizza and landed on the inside of my left thigh. Unfortunately, I was wearing shorts, and the pain of the hot cheese was truly unbelievable. I jumped up and shook the cheese off my leg, but by that time blisters had started forming on the inside of my thigh. While the second-degree burns on my leg did heal and the pain subsided after about two weeks, I am still somewhat afraid to this day of the various heat sources in a kitchen setting.

It seems that my fears are not irrational: A Pittsburgh firefighter suffered third-degree burns last week as he responded to a house fire that started in the kitchen. Firefighters arrived at the house and found smoke billowing from a window because of burned food. One firefighter came in contact with a pot on the stove that contained grease, which found its way into a small opening between his heavy coat and his gloves and ran onto his arms. The firefighter was transported to a local hospital and treated for a truly terrible injury: third-degree burns.

Cooking is the leading cause of fires and civilian fire injuries in the United States. So you simply cannot be careless in the kitchen when it comes to protecting against accidental fires and being burned by very hot ingredients, pots, pans, and utensils. In this Thursday's blog, we will address the various safety precautions you can take in the kitchen. But we'll give you the first lesson today: Never rush when moving around the kitchen--you will make it much too easy for an accident to happen!

February 11, 2011

Skin Bank and Third Degree Burns

The skin as any other organ in the body can be damaged like in second and third degree burns. If the damage is big enough the body can't replace the skin. There are alternative ways to cover the injured area and one of the methods used is allograft which is skin taken from another human being and given it to another. One of the major traumas the skin is exposed to is burns and in severe burns one of the methods used to replace skin is using allograft.

Skin banks are present in many parts of the world. They use skin from donor people after their death who provided consent to donate their skin. Usually skin banks are located near burn centers or as part of the hospital that contains the burn center.

Donors while they are alive sign a donation form with the presence of witnesses allowing their skin to be donated after their death. Anyone can be a donor and by being a donor this will not affect the person in any way regarding the care and treatment that he/she is receiving while they are alive.

Screening of the donor:

Before taking the skin, screening is done to make sure that there isn't any reason that may lead to rejection the donor. A full accurate medical and social history is taken associated with a complete physical exam of the cadaver to make sure that there isn't any reason that would prevent the use of the skin.

Screening for infection includes:

  • Screening for HIV.
  • Screening for hepatitis B.
  • Screening for hepatitis C.
  • Human T-cell lymphotropic virus types I (HTLV 1).
The skin is collected as soon as possible and if it's delayed for any reason the body is kept refrigerated and the skin is collected within a certain time. The skin is retrieved in the morgue under aseptic conditions (sterile). Usually the skin is taken from the upper calves, thighs, hips and torso. When the skin is in the skin bank, cultures are obtained for fungi, yeast, aerobic and anaerobic bacteria.

Causes that lead to the skin being unsuitable for transplantation may include:

  • Acute burn injury.
  • Malignancy of the skin.
  • Infections of the skin.
  • Exposure to toxic chemicals.
  • Recent chemo or radiotherapy.
  • Autoimmune disease affecting the integrity of the skin
  • Collagen vascular disease affecting skin integrity.
  • Extensive trauma to the skin.
  • Severe dermatitis.
This information is not intended nor implied to be a substitute for professional medical advice; it should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Call 911 for all medical emergencies.
February 10, 2011

To prevent fires, burns and smoke inhalation, keep a tidy home

I've posted a few entries lately about home fires that began because of unusual circumstances. In one instance, a fire destroyed a house and nearly killed two girls because clothing was laying across an extension cord that shorted out.

But just because a fire started from an unusual source doesn't mean that it was not preventable. In New York City this week, a retired schoolteacher died after a fire broke out around 2:30 a.m. in her apartment. While the cause of the blaze is not yet known, neighbors say that the 82-year-old woman was a hoarder whose clutter in her third-floor apartment was surely a fire hazard. A religious woman, "she saved fliers from every church she had ever been to," said the building's manager. "I helped her move apartments just to give her a clean start. She used to say, 'When I was growing up, I didn't have anything.'" That seems to be why the woman rarely threw anything away. But when the fire began, the woman, who used a cane, could not get out of her front door. In fact, she was heard yelling, 'I'm scared!" It's a tragic story.

Now, most of us do not rise to the level of hoarder--but collecting too much stuff within the home is a problem that many of us do have. While this retired schoolteacher had scores of flammable papers all around her house, it's likely that many of us have "overcollected" things that aren't necessary anymore. What's more, even simple messiness with items that you do use regularly can pose a serious fire hazard within the home.

There are two reasons why messiness can be deadly. First, having papers, books, clothes, and other things laying around could rapidly fuel a fire that might start in the kitchen, or from a candle, or from some source that otherwise could have been stopped with a home fire extinguisher. Second, if a fire does start, it is much harder to get out of the house if you have to step over or around items laying about. And because smoke from a fire is choking and blinding (which is why experts say you should immediately get down on the floor and crawl to an exit), having obstacles in the way can only make it more difficult to get out before you suffer smoke inhalation or potentially fatal third-degree burns.

If you think that you don't need to tidy up your home frequently and make sure all exits are clear of clutter, consider this story: In Washington state last week, a man nearly died from burns and smoke inhalation when he accidentally started a fire in his tent with fuel for a small heater. In other words, the fire and smoke got so overwhelming so quickly that the man was not even able to move a few feet to get out of a tent! Now imagine if you have to find your way to an exit in a large house that is filling with black smoke and flames. A frightening thought indeed.

February 9, 2011

Third Degree Burns and Smoke Inhalation, gas explosion

A woman was home in her apartment with her 4 children (all under the age of 5) when an enormous explosion occurred. The fire Marshall determined that the gas line in back of the stove had corroded and cracked. Gas escaped through the crack. From a physics standpoint the concentration of gas within the apartment had to fall within a very tight parameter in order to pose a danger of explosion. If the concentration of the gas was to little there would be no explosion. Conversely, if the concentration was too great there would be no explosion.

As it turned out the family had recently moved into the apartment. They were not familiar with the neighborhood. They did not speak English and therefore they did not go out of the apartment. It had been unseasonably warm. They were using a device that blew air across ice to cool the apartment. The windows had been closed. With the windows and doors closed the gas accumulated in the apartment. Once the concentration of the natural gas in the apartment reached the combustible level all that was required was a spark. Merely turning on a light, using a cell phone or the pilot light was all that was necessary to ignite the ticking bomb.

Fortunately we (Kramer & Pollack, LLP) were retained within a few days after the explosion. We had a team of cause and origin experts in the building 10 days after the explosion. We hired investigators to canvas the neighborhood, interview tenants of the building and obtain statements of anyone with any knowledge of the incident. No expense was spared. What we found through our investigation was that there had indeed been complaints to the gas company as well as the super and management of the building prior to the explosion. We found a building tenant who said that the gas company had been in her apartment 3 times in 2 months. Despite the 3 visits from the gas company she still smelled gas in her apartment (which was 2 floors above our client's apartment).

The explosion was so powerful it knocked down walls, blew out windows and melted televisions. The mom was admitted to the burn center for treatment of her third degree burns and smoke inhalation. She was on a ventilator and in a medically induced coma until she expired 3 and 1/2 weeks after the explosion.

February 8, 2011

A Bad Week for Fires, but Good News Arrives for Victims of Severe Burns

The cold weather blanketing much of the United States in this first week of February is causing many incidents of fire as people try to keep warm. For instance, in suburban New York, five firefighters were hospitalized with smoke inhalation after battling a basement house fire. One of those firefighters was in critical but stable condition and undergoing hyperbaric chamber treatment before going into the intensive care unit.

A local fire marshal said the blaze was not suspicious; the fire broke out around lunchtime and took about an hour to get under control. The firefighters were injured while in the basement, where there was a sudden eruption of flames, said one police detective. A fire chief added that "the fire at one point flared up on them," probably from a rush of oxygen that came into the basement from a door or an area of wall being opened to the outside. See a video of the fire here.

The lesson here: If you have a fire in your home, it is best to simply close the door to the room where the fire is burning and immediately go outside your home to call the fire department -- do not try to put out the fire yourself! In fact, closing a door or window as you leave will actually help to starve the fire of the fuel it needs to burn -- oxygen.

A second recent fire holds another lesson for all of us. In Rio de Janeiro, Brazil, a warehouse of costumes that were to be worn during the upcoming Carnival holiday went up in flames. The most notable aspect of this fire, though, was how quickly the warehouse burned. The reason: Costume clothing is generally much more flammable than everyday clothing. Parents should keep this fact in mind, because just one moment of carelessness around the house--such as laying down a child's costume near a source of heat, or holding a birthday candle too close to a child wearing a costume -- can cause third-degree burns to someone wearing or holding a costume.

Happily, I end today's blog with good news for burn victims. Dr. Jorg Gerlach of the McGowan Institute for Regenerative Medicine at the University of Pittsburgh has developed a technique whereby a spray gun can "shoot" a patient's own stem cells onto burn-damaged skin to treat and heal burns more quickly. So a second-degree burn -- a burn that penetrates the entire outer layer of the skin into the inner skin layer -- can disappear within days. The spray nozzle, using a patient's own cells, helps to cover the wounded area just like a paint gun would cover a wall. "The most critical cells are present, and we are using those cells right away from the patient. We just need to take care that we are distributing the cells nicely over the wound."

Normally, sheets of skin are grown over the course of a month, and patients sometimes die of infection during the wait. In contrast, the new approach takes just 90 minutes and burns can heal in as little as four days, Gerlach said. The skin gun was featured on the National Geographic Channel this week. See the video here Or read more about the process here.

February 4, 2011

Biobrane and Third Degree Burns

Is a temporary skin substitute that is man made. It is a white stretchable dressing that is made from a silicone layer and a nylon fabric to which collagen has been chemically bounded. Biobrane is used to cover the site of a burn wound like second and third degree burns and can also be used to cover the skin graft donor site. Before it covers the burn wound, the burned area is washed and all the burned skin is removed, after placing Biobrane on the burned area, it's wrapped with a bulky gauze and an ace wrap dressing. The dressing stays in place for 24-36 hours.

How to care for Biobrane in the first 24-48 hours:

Keep the dressing dry, avoid removing the dressing, move the area covered by the dressing only as needed and avoid extra movement.

Caring for the wound:

Bathe or shower daily, gently wash the Biobrane with a separate washcloth. Avoid scrubbing it and don't submerge it into tab water. Rinse it well with running water and pat it dry with a clean towel.

You have to check the wound for any signs of infection such as redness, swelling, bad smell, wound drainage (see wound infection).

When the wound starts to heal, Biobrane starts to lift up. Gently trim off the loose edges of Biobrane using a clean scissor that has been cleaned with alcohol. Apply lotion to the area where you have trimmed Biobrane. You should stop trimming if it causes bleeding or it's painful. Biobrane does not need to be covered with dressing at this time.

Follow the instructions given to you by your health care provider and call your doctor if any of the following is present:

  • A build up of fluid under the Biobrane.
  • The skin around the wound shows increased swelling, redness or feels hot.
  • Wound with a bad smell.
  • Fever above 100.5 degree F.
  • Bleeding.
  • Increased pain.
Kramer and Pollack, LLP; are VERY well versed in all aspects of representing burn injury victims. They have handled a multitude of burn injury cases ranging from hot water scald burns, to stove tipping cases to explosion cases. They are competent, experienced and very thorough This information is not intended nor implied to be a substitute for professional medical advice; it should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Call 911 for all medical emergencies.
February 3, 2011

Smoke Inhalation from Unusual Fire Sources

In a blog post about ten days back, I talked about the need to check your home for potential fire hazards on a regular basis. Red flags that come to mind right away are extension cords on carpets, space heaters too close to furniture or clothing, and candles left to burn for too long at a time.

Of course, almost immediately after posting that blog, I see an example of a fire hazard that most of us would never have thought of: lint in the clothes dryer. On January 26, two residents of Rochester, NY had to go to the hospital and receive oxygen therapy quickly to stave off potentially fatal effects of smoke inhalation--even though they were involved in what the local fire department considered a minor house fire, and had suffered no second- or third-degree burns.

Just after 7 a.m. that day, the clothes dryer caught fire in the basement of the house, probably because its lint trap was overly full. Although the residents noticed the smoke and left the house to call for help, and it took firefighters just 15 minutes to control the fire (which was contained to the basement) the two people told emergency responders that they did not feel well and were taken to the hospital as a precaution. Because smoke rises, the entire house sustained damage from the smoke. What's more, there were no working smoke detectors inside the house, though local firefighters installed detectors in the house right after the fire, as a courtesy. But if the fire started while the residents were asleep, the lack of smoke detectors could have produced a tragic outcome.

Here's another unusual situation, but one that car owners should always remember. In New York City this past week, several cars have caught fire because of the cold weather. Huh? Well, it seems that as people try to maneuver their cars out of snowy parking spaces, the tires often start to spin. But if the driver keeps a foot on the gas pedal and spins a tire for too long, the tire can heat up and catch fire, and set the entire car ablaze! In fact, this happened right in my own neighborhood earlier this week--I witnessed the fire myself. And if the driver was not aware that his tire had caught fire and ignited the trunk of his car, he could have been overcome by smoke inhalation and died right in the car in seconds.


February 2, 2011

Third Degree Burns, Stove Tipped

A family moved into an apartment that contained a free standing oven with a stove cook top. When they moved into the apartment the oven was filthy. The super of the building refused to clean the oven. An 11 year old girl decided to help her mother by cleaning the inside of the oven. Her life changed that day forever.

She opened the door of the oven and wiped down the door. She then reached into the oven to clean the inside of the oven. While reaching in she leaned on the door causing the oven to tip over. Her mother, meanwhile had been boiling chicken on the stove top. When the oven tipped, the pot of boiling water fell. The 11 year old girl suffered third degree burns on approximately 20% of her body. She was frightened and in a great deal of pain.

At first glance one might say why would the landlord be responsible for this tragic accident? Through good fortune the family retained Kramer & Pollack, LLP. We immediately set out to investigate the circumstances of this tragedy. We learned that the super of the building installed the oven. The oven, when shipped contained an anti-tip device along with instructions for proper installation. The anti tip device is essentially a small L bracket that gets mounted to the bottom of the wall and when you slide the oven into place the oven will not tip. With the bracket in place the door of the oven could support 250 lbs. The 11 year old weighed about 65 pounds. If the anti tip device were installed properly this accident would never have happened. The cost of the anti tip device about $3.79.

If you would like to read the heroic struggle and inspiring outcome as written by the now grown 11 year old just click on: Dashanda's Story

February 1, 2011

Third-Degree Burns Can Happen in a Flash


When the frightening possibility of receiving a 3rd-degree burn enters into most people's minds, they tend to think that such a severe burn can only be gotten from having a flame touch the skin for several seconds or more. But the possibility of getting a burn that penetrates and does damage beyond all the layers of skin in one area of the body--which is the simplest definition of a 3rd-degree burn--is greater than simply being exposed to a flame.

Take the recent case of a Fort Lauderdale man who was severely burned by an unusual source. One recent morning, the man decided to have a cigarette, but he lit up while sitting next to a medical oxygen tank that he used to help his breathing. Unfortunately, because there was a stream of oxygen flowing through the mask--and oxygen is a very powerful accelerant of fire--the tank literally blew up in the room. In an instant, the heat from that explosion badly burned the man, even though there was no fire after the explosion.

It can be the same way with natural gas, which is used in many homes for appliances and for heating. If a source of natural gas is leaking in a home or any enclosed space, it does not even take an open flame to cause a huge superheated flash--just a spark from an appliance switching on could ignite the gas, causing a flash that can literally destroy all the layers of skin on any exposed body part, or even melt clothing onto skin that is covered! Larry Kramer, a partner in the law firm of Kramer & Pollack LLP in Mineola, NY, has had clients who received 3rd-degree burns from natural gas being ignited; these burns can happen in just a fraction of a second, and not necessarily from any fire afterward.

Here's another scenario for 3rd-degree burns that you might never have thought about: Hot liquid spilling onto the skin. In fact, on January 27, a jury in Georgia awarded $1.2 million to a woman who said she was scalded by 190-degree water that shot out of a convenience store's cappuccino machine. The woman, 52 years old, was burned on her hand and arm as she held her cup near the machine at a QuikTrip convenience store one night in late 2007. A part of the machine had been removed for cleaning, without her knowledge, when she attempted to use the machine. The company which owns QuikTrip wrote in an e-mail to The Associated Press after the verdict that the woman's injury resulted from a rare accident, and that the firm has since replaced the cappuccino machines at all its stores.

This incident only took a second or two, but the woman now needs to take prescription pain medication regularly, and might now need an electronic implant to correct nerve damage in her hand and forearm caused by the 3rd-degree burns. The woman's attorney noted that most of the money she will receive from the verdict will go towards these and other future medical expenses.

January 28, 2011

Accommodating Workers With Burns (partII)

Psychological issues that burn patients may deal with may include anxiety, depression, post traumatic stress disorder (PTSD). Employers and supervisors can provide support to the burn victims by:

  • Written job instruction provision.
  • Positive praise and reinforcement.
  • Long term and short term goals establishment.
  • Developing good strategies to deal with problems before they arise.
  • Developing a procedure in order to evaluate the effectiveness of the accommodation.
Coworkers' interaction:
  • Providing sensitivity training to supervisors and coworkers.
  • Employees' education on their accommodation rights.
  • Employees are encouraged to move non work related conversations out of the work place.
In case the burn victim has difficulty dealing with his/her emotions, the following things can be done by the employer to help:
  • Referring employees who need help to counseling assistance.
  • Allowing telephone calls to be made during work hours to doctors and other support groups.
  • Allowing support animals to be present at work place.
  • Allowing brakes to be taken by the employee as needed.
In case of sleep disorders, employers can help by:
  • Allowing work hours to be flexible.
  • Allowing breaks to be taken frequently.
  • Allowing work to be done from home.
This information is not intended nor implied to be a substitute for professional medical advice; it should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Call 911 for all medical emergencies.
January 27, 2011

Fast Treatment of Smoke Inhalation Critical to Recovery


In a small town in England last week, a man was saved from his burning car by firefighters. But it was the fimmediate action of paramedics in getting the man fitted with an oxygen mask and breathing pure oxygen that just as likely saved his life too.

The man, who was suffering from shock as a result of the fire, was not able to tell paramedics if he had breathed in smoke, so the paramedics gave him pure oxygen as a precaution. This was wise, as it turned out that a later examination revealed that he did in fact breathe in the poisonous fumes contained in smoke.

Anyone who gets within close proximity of a fire should take oxygen therapy afterwards, because the damaging effects of smoke inhalation can present themselves over days, weeks, and months--even if a person feels okay right after a fire. And with children, who have smaller lungs than adults which will fill completely with smoke and become damaged more quickly, it is imperative they take oxygen even if there's no evidence of first-, second-, or third-degree burns or other obvious physical ailments.

If smoke inhalation goes untreated, it could lead to death within a day or two of exposure, even if the person doesn't appear to have any symptoms immediately afterward. Smoke inhalation damages lung tissue, making it difficult for the body to absorb oxygen. What's more smoke inhalation can actually worsen over time if proper care is not taken immediately, leading to complications months and years later that can permanently handicap, or even kill, a person. Taking oxygen immediately after exposure can not just keep you alive, but also allow you to have a normal life in the years to come.

Lastly, if you think smoke is the last thing you need to worry about if you are caught in or near a fire, consider this: A few years back, a Georgia man was found dead in his home after a fire. He had no burns; he suffered smoke inhalation. But the incredible thing was this: He lived in a small mobile home! In other words, all this man had to do to have a chance of surviving was move a few feet to a door or window--yet he could not even make it that far before losing consciousness. This demonstrates just how poisonous smoke is to your lungs.

January 26, 2011

Smoke Inhalation, Not Fire, Results in Devistating Injury

A mother of 3 fell asleep, on the living room couch, with her infant in her arms. Her 2 other elementary school age children went to sleep in their room. While she slept, in the early morning hours, her 6 year old son played with either a lighter or matches. As a result the couch cought on fire. The son, petrified, ran back to his room. It did not take long for the fire to engulf the sofa and spread to the entire room. The mom woke up to a couch that was on fire and a home filled with smoke. She could not see anything (because of the smoke), but she could hear a neighbor yelling from the other side of the door. She was able to feel around through the smoke and get to the door. Unfortunately she was unable to open the door. As she made her way to the back of the apartment she was overcome by smoke. She passed out due to smoke inhalation. She was found by the fire department unconscious, near the childrens' bedroom. She was hospitalized for 2 months during which time she was placed in a medically induced coma. She suffered 3rd degree burns that were treated but the reason for the lengthy hospital stay was the fact that she suffered from smoke inhalation. The infant that she was sleeping with on the couch did not survive.

Now at first glance you might think that the landlord could not possibly have any responsibility because the fire was started by a child playing with matches or a lighter. We (Kramer & Pollack, LLP) thouroughly investigated the case and we were left with some very pointed questions. Where did the matches or lighter come from? Why couldn't the mother get out the side door? Well, the stove in the apartment would not light without using matches or a lighter. She could not open the door because months prior to the fire someone had attempted to break into the apartment through the side door. They did not break in, but they did break the lock. The mother had complained to the landlord that the stove did not work properly and that the door was inoperable. If the stove worked properly there would be not need for a lighter or matches. If the woman were able to open the side door escape would have been possible.

You can only imagine the sadness and grief not to mention the pain and suffering that the mom has endured. Even more compelling is the guilt that her son will contend with for the rest of his life.

January 25, 2011

Smoke Detectors / Smoke Alarms Prevent Deadly Smoke Inhalation--if They're Working

In one of my posts last week, I mentioned a fatal fire that started because an extension cord had shorted out and set fire to clothes that were laying on top of it. This is a very preventable type of fire--but it can be prevented only when people living in a house or apartment practice good fire safety. The best way to do this: Take two minutes every day to check around your house or apartment for situations that could start a fire, or cause a fire to spread, or block the escape path to a door or window.

Besides this, there is another very simple precaution that people can take. And even though this precaution cannot prevent a fire, it can do something even more important: it can prevent a fire from trapping victims and inflicting terrible third-degree burns and poisonous smoke inhalation. What is that precaution? Installing a minimum of one smoke detector on the ceiling of each level of the house, preferably in the hallway near the bedrooms. It is advisable to put a smoke detector in each bedroom as well.

Sure enough, the blaze that was started by the shorted-out extension cord, which killed a mother and her three children who were asleep at the time, took place in a home that did not have a smoke alarm. So even though the fire began in the living room, in an electrical outlet that was also being used to power a stereo system, a computer, and other appliances, the lack of a smoke detector meant there was too little time to escape once family members woke up and realized there was a fire. The fire had engulfed much of the first floor and created dark, choking smoke that rose up and filled the rooms of the second floor before any of the sleeping victims had a chance to escape. And believe it or not, many victims who die of smoke inhalation are not even awakened by the smell of smoke. Smoke can poison your lungs and cause unconsciousness so quickly that there is no time to wake up!

So if you own your home, it takes less than $20 to buy a battery-operated smoke detector and about ten minutes to install one. And if you rent your house or apartment, make sure to ask the landlord to install smoke alarms in your apartment. One last thing to remember: It is the tenant's responsibility to check the battery in each smoke detector every few months to make sure it is working, and to REPLACE the battery once a year. If you don't do this, the smoke detector might be of no use in keeping your family safe!

To read reviews on many types of smoke detectors, click here. Lastly, anyone who cannot afford a smoke alarm can contact their local fire department to see if they will install one for free. In Philadelphia, for instance, residents can sign up to get a free smoke detector by visiting www.FreedomFromFire.com.

January 24, 2011

Accommodating Workers With Burns (part I)

Accommodating an employee with burn injuries returning to work depends on many factors which include the total body surface area involved in the burn, the extent of the burn, the degree of the scaring that affected the patient and the limitations that resulted because of these scars. (see preventing and dealing with scars I, II)

An employer should consider what limitations an employee with a burn injury has; to what extent do the limitations affect the work performance; and the specific job tasks that are problematic as a result of these limitations. The burned person has to inquire about the available accommodations to decrease or eliminate the problems that he/she are facing as a result of the injury. The burned person should meet with his/her supervisor or employer to discuss the effectiveness of the accommodations and to determine whether or not other accommodations or services are needed.

Motor impairment which often result from contracture, may lead to difficulty in walking and standing. Burns affecting the arms and hands can lead to difficulty in lifting and carrying things, difficulty in reaching for objects and compromise of fine motor movement such as writing and grasping. The following accommodations can be made for people with gross and fine motor impairment.

For gross motor impairment the following can be done:

  • Work site modification to make it accessible.
  • Automatic door installation.
  • Work place modification to make it accessible.
  • Moving the workstation closer to other work area.
  • Providing an accessible way of travel to other work area.
  • Making materials within reach.
  • Accessible entrance provision.
  • Close parking provision.
  • Accessible restroom provision.
  • Material lifts provision.
  • Stand or lean stools provision.
For fine motor impairment:
  • Alternative computer access provision.
  • Alternative telephone access provision.
  • Writing and grip aids provision.
  • Arm support provision.
  • Anti vibration gloves provision.
  • Tool balancer provision.
This information is not intended nor implied to be a substitute for professional medical advice; it should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Call 911 for all medical emergencies.