March 27, 2012

Workplace Accident Causes Severe Burns for Steel Plant Employee


Earlier this year, a man in Portage, Indiana, was placed into an induced coma after an industrial accident at the steel mill where he worked left him with third degree burns over 55 percent of his body.

The accident happened one evening at the ArcelorMittal Burns Harbor plant, when a high-pressure steam hose ruptured from where it was connected to an oxygen furnace. Gabe Rocha, a salaried foreman who transferred from the firm's Inland Steel plant to the Burns Harbor facility about six months ago, was checking pressure lines that are part of the cooling system when the hose ruptured.

At the time of the accident, workers were investigating an alert that a steam pressure line had stopped working properly. While Rocha was looking into the situation, the hose ruptured with such force that it threw him about 200 feet, dousing him with steam.

Rocha, who is in his 50s, was airlifted to the burn center at Loyola University Medical Center in Maywood, where he was placed in the coma. Rocha is expected to be in the medically induced coma for about a month, he added. "His hands, neck, back and legs suffered severe burns," said a union spokesman. Fortunately, he was initially listed in stable condition.

The plant workers' union and the steelmaking firm have launched a joint union-management investigation into the accident to determine the exact cause, and determine if the incident could have been prevented. "We want to make sure this doesn't happen again," said the union spokesperson.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

March 24, 2012

Burn Victims Can Reduce Pain Through Virtual Reality Games

In August 2011, Randy McAllister suffered third degree burns while trying to save equipment from a fire in wheat field. Today, he says that when he goes for his burn treatments, "it gets me to the threshold where I can't stand it, but then I find out it can hurt even more," says the 60-year-old farmer. During five weeks at the Oregon Burn Center at Legacy Emanuel Medical Center in Portland, Oregon, McAllister needed repeated rounds of burn wound care to remove dead tissue from his extensive burns. "It's more painful than the fire."

Then a nurse told him about SnowWorld, a computer game designed to help burn patients escape from agonizing pain by distracting their minds during burn treatments. During his next wound care session, McAllister wore headphones and looked through virtual reality goggles. He found himself floating through an icy canyon rendered almost three-dimensional by the wrap-around goggles. By tapping on a computer mouse, McAllister fired snowballs at animated penguins, snowmen and dolphins in the canyon to a soundtrack of upbeat music. And the virtual world made his real-world pain less overwhelming.

It's one of the most successful examples of non-drug pain management techniques to emerge from the work of psychologists and neuroscientists. The search for non-drug options has gained urgency amid a worsening epidemic of overdoses linked to prescription opioid pain relievers such as oxycodone and hydrocodone, which killed 14,800 Americans in 2008 - more those killed from heroin and cocaine overdoses combined.

In clinical trials, burn patients using SnowWorld reported 35 to 50 percent reductions in pain. The system was developed at the University of Washington by research scientist Hunter Hoffman and psychologist David Patterson, with input from burn care experts at Harborview Burn Center in Seattle.

Virtual reality therapy isn't a substitute for opioids and other pain-relieving medications, but it can boost the effectiveness of drugs - and possibly reduce the dosage. Researchers who developed the technology say it might also help people with chronic pain syndromes, although those clinical trials are incomplete.

Theresa McSherry, burn and wound care coordinator at the Oregon Burn Center, says burn patients need more options. Pharmaceutical research has provided safer and more effective anesthetics and opioid pain relievers, but drugs have limits.

"You can't safely give burn patients enough medication to provide adequate pain relief," says McSherry, a registered nurse who has worked with burn patients for more than 10 years. A grant from the Legacy Foundation allowed the Oregon Burn Center to buy the $66,000 virtual reality system in August. About a dozen are being used worldwide.

Preventing pain not only relieves immediate suffering, but also seems to help burn patients weeks and months later. Patterson, the UW psychologist, says the amount of pain during treatment is a stronger predictor of depression, anxiety and distress six months to a year later than the extent of burns or the length of hospital stay. "If you can control more of the acute pain, it can result in better long-term outcomes," he says.

Scientists have known for decades that the human brain can interpret the same signal transmitted by a pain receptor as painful or not, depending on what a person is thinking. Mood and expectation also play a big role. German researchers recently showed that a sad mood consistently makes people experience more pain. In another recent experiment, tricking people to think time passed more quickly reduced perception of pain.

Entering a rich, three-dimensional, sound-filled virtual reality might use so much of the brain's attention resources that less is available to process pain. "We're taking advantage of the malleability of human perception to deliberately divert mental resources away from the pain," Hoffman says.

Burn patients come to associate the sights and sounds of the wound treatment room with excruciating pain so that just entering the room can amplify the suffering, Hoffman says. Putting on headphones and goggles blocks the anxiety-stirring sights and sounds.

But distraction of attention appears to be the main way that virtual reality reduces pain. Hoffman's team has compared differing gear and found that the more realistic and "immersive" the gear, the greater the reduction in pain reported.

That matches McAllister's experience. His burned fingers made it difficult to hold the computer mouse during his SnowWorld experience. When the mouse slipped from his hand and he lost engagement with the snowball throwing, the pain of the procedure immediately intruded.

McAllister expects to continue intensive physical therapy for several months to regain more use of his fingers and hands. He may need additional surgery to remove scar tissue and increase joint mobility. But he's optimistic about returning to work next year.

Patterson believes virtual reality can help treat chronic pain as well. The UW researchers also developed a virtual reality program that induces hypnosis. The goal is to use post-hypnotic suggestion to change the way the brain handles chronic pain signals long after therapy sessions.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

March 23, 2012

Hypovolemic Shock

It is a life threatening medical emergency in which the heart is unable to pump oxygen rich blood to the vital organs of the body and can cause many organs to stop working.

Causes:

Hypovolemic shock happens due to decreased blood volume, losing about 1/5 or more of the normal amount of blood in the body causes hypovolemic shock. It is caused by:

  1. Blood loss from bleeding, it can be bleeding from a cut, or internal bleeding.
  2. Loss of blood plasma due to severe burns, this happens due to loss of skin and damage to the blood vessels.
  3. Dehydration ie, diarrhea or vomiting (loss of a lot of body fluids may lead to a drop in the amount of circulatory blood).

Signs and symptoms:

  1. Anxiety or agitation.
  2. Cold, pale skin.
  3. Confusion.
  4. General weakness.
  5. Low blood pressure.
  6. Rapid pulse.
  7. Decreased or no urine output.
  8. If severe it can lead to unconsciousness.
  • It is usually diagnosed based on the clinical features and physical exam, blood tests and other diagnostic methods might be needed to determine the exact cause of shock if it is not clear.
Treatment:
  • It is a medical emergency, call 911 or take the person to the emergency room.
  • While waiting for medical help:
  1. Ensure that the airways are open and the person is breathing.
  2. Place the person on his back and elevate the legs 6-12 inches unless there is a suspected back or neck injury where the person should be immobilized.
  3. Keep the person warm.
  4. Try to stop bleeding from an obvious bleeding site by applying direct pressure.
  5. If the person is vomiting or there is bleeding from or around the mouth, place the person on their side or back with head turned to the side to avoid suffocation unless there is a head or neck injury.
  • Hypovolemic shock is treated by replacing the fluid and/or blood, usually done through an IV line, in addition to treating the cause.
  • The more severe the burn is, the higher the possibility that hypovolemic shock will occur.

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.

March 20, 2012

Recall of Mini Coopers for Fire Hazard Reminds Us That Cars Can Cause Severe Burns and Smoke Inhalation Injury


In mid-January, BMW began a recall of 89,000 Mini Coopers in the United States for the same sort of problem that led to earlier recalls of BMW and Rolls-Royce luxury cars.

The problem, in all the recalls, is that a computer circuit board controlling a turbocharger cooling system can fail. The result: an overheating and smoldering water pump and, in some cases, a fire in the engine compartment.

The turbo cooling system in the Mini Coopers operates differently from that in the BMW and Rolls-Royce cars, according to a letter BMW sent to the National Highway Traffic Safety Administration. Nevertheless, some turbocharged Mini cars have caught fire in the same way the larger cars did.

BMW is still investigating whether the cause of the problem is related or just coincidental. Germany's BMW AG owns and operates all three car brands.

Worldwide, the Mini recall covers a total of 235,535 cars. Cars being recalled include some model year 2007 through 2011 Mini Cooper S hatchbacks and convertibles; Mini Cooper Clubman S (the longer three-door Mini); and Mini Cooper Countryman S (the larger, four-door SUV Mini); as well as John Cooper Works high-performance versions of the Mini Cooper.

Mini Cooper dealers will replace auxiliary water pumps on the recalled cars. Non-turbocharged Minis are not involved in the recall.

There have been 81 cases of water pump failure in turbocharged Mini Coopers globally so far, including four engine compartment fires. No accidents or injuries have been reported as a result of this issue, however.

Nonetheless, the lesson that people should take from this news is that cars burn quickly because are made up of many flammable parts and hold combustible fluids. And because of this, when they malfunction it is possible that they produce fire and smoke conditions that can quickly overcome the occupants of the car, resulting in severe burns or smoke inhalation. In fact, several people die in car fires each year because they are unable to simply open the door and get out of the car in time!

So if you see or smell smoke coming from your car, do not wait to get to a gas station or a repair shop. Instead, stop the car and turn it off immediately--and then call for help.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

March 20, 2012

Physical Therapy and Third Degree Burns

The aim of physical therapy is to improve the movement and function of the affected area and to prevent and minimize scarring (hypertrophic, Keloid) as much as possible. Once the patient has sustained a burn injury such as a second or a third degree burn, the rehabilitation phase should begin as soon as possible.

Physical therapy usually starts at the time of admission; the patient will be assessed by a team of therapists who are part of the burn care team and rehabilitation will start accordingly.

Physical therapy may include:

  • Body and limb positioning.
  • Exercises: they are either active exercises done by the patient himself or passive exercises done by the physical therapist moving the area involved.
  • Splints: splint will be fitted by your therapist and need to be worn as instructed, if you develop an allergic reaction such as redness, blistering, itching, numbness or abnormal sensation when wearing the splint than you have to remove it and contact your therapist immediately.
  • Orthotic devices: some patients may need to use orthotic devices.
Physical therapy may be hard in the beginning because of the pain that is associated with the burn and surgeries, the sensitivity of the skin and the fear that the patient have. In children doing physical therapy may be harder; parents play an important role with the team in encouraging the child, helping him/her with their therapy and praising them.

Some patients will be transferred to a rehabilitation center after discharge from the burn center to continue their rehabilitation, the duration and type of therapy will depend on the condition of the patient and the severity of the burn.

Patients may be discharged home with instruction to continue physical therapy at home; compression garments may be given and used with exercising.

For some a physical therapist will be assigned to them making home visits, if exercises are given to you by your therapist, it is important to do these exercises and increase your home activities as advised by your therapist.

Make sure to follow all the orders and instructions given to you, it may be hard in the beginning, you may get tired and frustrated but you have to remember that it is for your benefit and will become easier with time, the aim of the therapy is to restore the normal daily activities as much and as soon as possible and to prevent any deformities.

Make sure to attend all outpatient follow up appointments with the burn clinic as your physicians and therapists will monitor your progress and adjust what needs to be adjusted for you.

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.

March 16, 2012

How Dangerous Are House Fires? Even Well-Protected Firefighters Frequently Suffer Smoke Inhalation and Severe Burn Injury


In late February, two Prince George's County, MD firefighters were critically injured when a wind-fueled fireball blew through a burning house. They will survive, but the two members of the Bladensburg Volunteer Fire Department will face long, painful recoveries.

Ethan Sorrell, 21, sustained respiratory burns "through his esophagus and down to his lungs," and Kevin O'Toole, 22, suffered second and third degree burns over 40 percent of his body when a basement fire suddenly turned a small house into something resembling a blast furnace.

O'Toole underwent skin graft surgery shortly after, and will be in the burn unit at the Washington Hospital Center for six weeks. He then faces six months of rehabilitation beyond that.

Doctors won't know the full extent of the damage to Sorrell's burned airway until they remove a breathing tube. His father, Vann -- a volunteer firefighter in Buies Creek, NC -- welled up when asked about his son's bravery. "When you go into it, you know the dangers," Sorrell said. But the Sorrells "just have that need to serve," he added.

His son is unable to speak but has been communicating with a pen and paper. He seems to be in good spirits, said the local fire chief. "The first thing Ethan wrote to me on a pad was [that] the medic who transported him was attractive."

Five volunteer firefighters were treated and released for burns and other injuries suffered in this incident, which as been called by fire officials a "freak occurrence."

One of the injured was Michael McClary, who returned to the hospital two days after the fire with bandages wrapped around his hands, and his heart heavy. "He's still upset that he got to go home and his brothers didn't," said his mother, Cheryl.

Michael, she said, wasn't up to discussing publicly what happened at the house, where wind gusts apparently shot a column of flame up the stairs, through the first floor and out the front door.

The fire was extinguished quickly, said a fire commander who was directing a group in the basement at the time of the fireball.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

March 13, 2012

High-Rise Hotel Blaze in Bangkok Offers Lessons on Avoiding Deadly Smoke Inhalation and Severe Burns

Last week, a small fire at a high-rise hotel in the main tourist district of Bangkok, Thailand caused the upper floors to become filled with smoke, killing at least one foreign tourist and injuring 23 others.

When firefighters arrived at the 15-story Grand Park Avenue Bangkok hotel last Thursday evening, they saw people screaming for help from the upper floors. The smoke had risen so quickly and had gotten so thick that "people were panicked and some of them wanted to jump from windows. We had to tell them to wait and we sent cranes in to help," said a local fire chief.

One foreign woman who suffered from smoke inhalation was unconscious when taken from the building and later died at a Bangkok hospital. It can take just two or three breaths of smoky air that contains carbon monoxide and hydrogen cyanide to cause permanent injury to the brain, heart and lungs, and even death.

The other victims included two Thais and 19 foreign tourists, most of whom suffered from smoke inhalation.

Investigators were still trying to determine the cause of the fire, which started on the building's fourth floor shortly before 10 p.m. and was quickly extinguished, but sent suffocating smoke to the upper floors at a time of night when most people were in their rooms.

Dozens of people were evacuated and rescue teams treated at least 12 people at the scene to clear their lungs of smoke.

The three-star hotel, formerly known as the Grand Mercure Park Avenue, has 221 rooms and is located in a tourist and residential district popular with foreigners.

The lesson to be learned from this incident is that hotel guests should locate the fire exits on the floor they're staying on as soon as they arrive. As the victims who were trapped in this hotel found out, even a small a small fire needs only a few minutes to cause choking smoke that will rise through a building, just like in a chimney. This can cause death and injury to people who are located far away from the actual fire. In a hotel fire situation, every second counts, so knowing where the exits are located before an emergency happens could mean the difference between life and death.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

March 9, 2012

Even One Candle Can Cause Home Fires and Severe Burns

Several weeks back, a few unattended candles sparked a fire that caused about $130,000 in damage and caused more than 40 people to be evacuated from an apartment building in Seattle, Washington.

The fire started at just before 4 a.m., according to the Seattle Fire Department. Firefighters responding to the scene had to use a ladder to rescue a woman who had already become trapped in her second floor unit. Once she was rescued, it took them another 30 minutes to knock down the fire.

The evacuated residents waited inside a city bus as the firefighters fought the blaze. By about 6 a.m., all but two of them were able to return to their homes. Those two residents, a man and a woman, were being helped by American Red Cross.

The fire caused about $100,000 in damage to the building and about $30,000 in damage to its contents. Fire investigators determined that the blaze was started by unattended candles.

A Seattle Fire Department spokesperson said that this fire should serve as a lesson about the danger of using candles indoors, especially at a time when many people might be using candles to save money on their electric and heating bills. In short, it is dangerous to leave candles burning when you leave the room, even for a minute or two. Candles can fall over easily, which means they could ignite carpet, furniture or curtains and quickly cause a much larger fire.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

March 7, 2012

Fire Control Panels Recalled Due to Alarm Failure, Posing a Fire and Burn Hazard


In mid-February, the following product safety recall was voluntarily conducted by Bosch Security Systems of Fairport, NY, in cooperation with the U.S. Consumer Product Safety Commission. Consumers should stop using this product immediately unless otherwise instructed. It is illegal to attempt to resell a recalled consumer product.

The name of the Bosch product is the Fire Alarm Control Panel. The fire alarm panel is a locking red wall box with dimensions of 22.7 inches high by 14.5 inches wide by 4.3 inches deep. The status, date and time can be seen through a glass screen on the panel door. The word BOSCH is printed on the right corner of the panel and the model number FPA-1000-UL is printed on the bottom left below the glass screen. The alarm panels featured software versions 1.10, 1.11 and 1.12, which can be determined by installers. These units were designed to be used in small to medium-sized facilities, in both public and residential buildings. These were sold at authorized distributors and installers nationwide from May 2009 through October 2011. They were manufactured in China.

About 330 units are being recalled because when the "alarm verification" feature of the system is turned on, the control panel could fail to sound an alarm if a fire occurs. In addition, on systems with 50 or more reporting stations, a delay in sounding an alarm and reporting a fire might occur if the loop for the alarm system is broken.

As part of the remedy, all distributors and installers of these fire panels are being sent two technical bulletins. One provides instructions for how to implement a software change that will correct the verification feature. The second contains instructions for how to handle warnings from affected systems with 50 or more stations. Those who have not received the bulletins should contact Bosch.

No injuries have been reported due to the possible faults of these fire alarm systems. But the recall is being done to ensure that nobody who is inside a building that uses such a system suffers severe burns or smoke inhalation as a result of not being notified of a fire by the system.

To obtain instructions on how to download software to update the control panels or otherwise address the problems, contact Bosch Security Systems at (800) 289-0096 between 8:00 a.m. and 8:00 p.m. EST, or visit the "service and customer care" section on the Bosch website.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

March 7, 2012

Deep Venous Thrombosis (DVT) (part II)

Diagnosis:

The diagnosis of DVT is made by physical examination and testing, the tests may include:

  • Doppler ultrasound exam of the suspected limb.
  • Blood tests: which include D-dimer, other blood tests may be done to test if there is increased blood clotting.
  • Leg venography: it is an X-ray done to show the veins in the leg.
Treatment:
  • The standard treatment is using medications called blood thinners (anticoagulant), such as Heparin which is given intravenously and Warfarin which is given orally and used for long term treatment, Warfarin needs time to be fully effective and that is why it is given while the patient is still on Heparin. When the patient is started on Warfarin, Lab tests will be needed to check the thickness of blood.
  • Thrombolytic therapy: this is done by injecting drugs that lyses the clot.
  • Catheter directed to remove the clot.
  • Placement of a filter in the inferior vena cava (largest vein in the body) to prevent the clot from traveling to the lung.

You should seek medical help immediately if you have a history of DVT and develop symptoms such as chest pain, breathing difficulty, fainting, coughing blood or other symptoms.

Prevention:

  • Stop smoking.
  • In any condition that requires long time sitting ie, long plane trips or long period of time lying in bed, the person should try to move his/her legs to avoid stagnation of blood which increase the risk for developing DVT.
  • Blood thinners, these medications decrease the thickness of blood and decrease the incidence of clot formation; they may be prescribed for Patients who are at high risk of developing deep venous thrombosis.
  • Pneumatic compression device: these are devices that may be used to decrease the incidence of deep venous thrombosis. They are prescribed for patients in the hospital who are at risk of developing deep venous thrombosis. The sleeves of the device are attached to the calves of the patient. The sleeves periodically squeeze the calves preventing blood from stagnating. A blood clot may occur if the blood is stagnant. If you leave the bed ie, to walk or visit the restroom, you have to make sure that the device is reconnected when you return to your bed as these devices should be worn all the time.

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.

March 6, 2012

U.S. Consumer Product Safety Commission Gets Recall of Melamine Mugs, Due to Serious Burn Hazard


In late February, the U.S. Consumer Product Safety Commission, in cooperation with Carlisle FoodService, announced a voluntary recall of the following consumer products. Consumers should stop using recalled products immediately. Also, it is illegal to attempt to resell a recalled consumer product.

The type of product being recalled is beverage cups and mugs. About 111,000 units are targeted by the recall. The importer of these cups and mugs is Carlisle FoodService Products of Oklahoma City, Oklahoma.

The danger related to these cups and mugs is that they can break when they come in contact with hot liquids, posing a threat of serious burns to consumers. Carlisle has received three reports of cups and mugs breaking during use with hot liquid. No injuries were reported, however.

The nine models of Carlisle cups and mugs were sold in sizes from 7 ounces to 16 ounces, and in the following colors: white, green, red, brown, black, ocean blue, sand, honey yellow, bone, and sunset orange. They are approximately 3 inches tall and are made of melamine. The name "Carlisle OKC, OK" and model number are imprinted on the bottom of each product, along with "Made in China" and "NSF." Some might also include the model name and size, for example: "Durus 7 oz cup." Cups and mugs included in this recall are:

Sierrus™ Mug, 7.8 oz, Model # 33056
Durus® Challenge Cup, 7.8 oz, Model # 43056
Dallas Ware® Stacking Cup, 7 oz, Model # 43546
Dayton™ Stacking Cup, 7 oz, Model # 43870
Kingline™ Ovide Cup, 7 oz, Model # KL300
Kingline™ Stacking Cup, 7 oz, Model # KL111
Melamine Stackable Mug, 8 oz, Model # 4510
Cappuccino Mug, 12 oz, Model # 4812

Many people suffer second degree burns and third degree burns each year from spills of hot liquids onto their skin. The immediate treatment for this type of burn is to pour cold water over the affected skin for 1-2 minutes so that the various layers of skin cool down quickly and are not damaged so badly that they require skin grafts. After doing this, the victim should seek professional medical attention.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

March 1, 2012

Deep Venous Thrombosis (DVT) (part I)

Is a medical condition in which a blood clot forms in a deep vein in the body. Most of the blood clots happen in the large veins in the lower leg and thigh. These clots can block the veins leading to restricted blood flow or may break off and move through the circulatory system leading to serious problems depending on which organ is affected. A DVT may cause pulmonary embolism if it goes to the lung, it may cause heart attack if it goes to the heart or it may cause a stroke if it goes to the brain.

Deep venous thrombosis may be caused by:

  • Factors that cause change in the blood velocity.
  • Factors that cause change in the consistency of blood
  • Factors that cause damage to the lining of the vessel.
Risk factors for developing DVT may include:
  • Bed rest
  • Sitting for a long period of time such as on a long plane ride.
  • Recent surgery.
  • Giving birth within the last 6 months.
  • Medications such as contraceptive pills.
  • Smoking cigarette.
  • Obesity.
  • Fractures
  • Hypercoagulability: increase the liability of blood to form clots.
  • Conditions that lead to increase the production of red blood cells.
  • Cancer.
Signs and symptoms of deep vein thrombosis include:
  • Skin redness over the affected limb.
  • Warmth (to touch) over the affected limb as compared to the other limb.
  • Pain in the affected limb.
  • Tenderness in the affected limb.
  • Edema (swelling) in the affected limb.

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 28, 2012

Burns in Geriatrics

A geriatric is a person who is older than 65 years. The geriatric population is increasing in developed countries due to the improvement of services and quality of life.

Flames and scalds are the leading cause of burns in geriatrics. Risk factors that may contribute to burn injury in elderly people include:


  • Living alone.

  • Decrease in the level of mobility.

  • Decreased supervision of elderly people.

  • Decreased smell and decreased reaction time.

All degrees of burns can happen (First, Second and Third), but there are risk factors that may increase the severity of the burn which may include:

  • The presence of chronic diseases such diabetes.

  • Atrophy (thinning) of the skin and subcutaneous fat.

  • Nutritional deficiency.

  • Cardiovascular disease such as atherosclerosis and myocardial infarction.


With age, the skin becomes thin with decreased vascularity, making elderly people more liable for deep burns as well as decreased wound healing.

Elderly people have increased risk to develop contractures due to a higher percentage of deep burns. When the burn is deep a skin graft may be needed and as the skin thins with aging this will lead to a poor donor site as well as difficulty in healing for both the donor and the recipient site.

Elderly patients require more rehabilitation and the long term disability is greater due to the presence of the risk factors that may increase the severity of burn.

Elderly people should always make sure that the smoke detector is working, that there is someone that can be contacted easily in case of an emergency; and they are careful when cooking and handling hot objects.

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 28, 2012

There's Danger of Fire or Severe Burns From Laptop Computers and Other Electronics

In late February, a man suffered third degree burns from an unusual incident involving an overheated laptop computer. His burns were so severe that he had to be airlifted to a top burn treatment center for further care, including skin graft procedures to replace badly burned skin.

The 31-year-old man suffered burns on 60 percent of his body. The cause of his injuries was a fire that started in the bedroom from an overheated laptop computer which was left on while he took a shower. The victim was injured because he made a careless decision: He placed his laptop computer on the mattress of his bed before going into the shower. Laptop computers get hot when they are on, and their cooling and ventilation areas are near the bottom of the unit. So laptops must always be placed on a hard surface so that they can take in air to cool them off. In this instance, the heat from the computer was trapped, and eventually set the mattress on fire.

When the victim realized that the mattress and the bed were on fire, he tried to put it out with the help of his wife. Unfortunately for him, in his attempt to extinguish the fire, he suffered severe burns on his hands, arms, and legs. The fire was finally extinguished by a team of firemen who rushed to the scene after receiving a distress call from someone outside the home.

The lesson here is that electronics devices--iPads, laptops, and even smartphones--give off lots of heat, so they must not be left on any surface that can burn. There have even been burn accidents where laptop users severely burned their legs by placing the laptop in their lap to use it! Sometimes these devices become overheated from a product defect such as a short circuit, and this product defect could result in an injury lawsuit against the manufacturer.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.

February 23, 2012

Do Not Fight a Home Fire--It's Too Dangerous. Evacuate Quickly to Avoid Severe Burns

Here is a story that shows clearly why, if a fire breaks out in your home, you should get out immediately and call 911 to report the fire, rather than stay inside and try to extinguish the fire yourself. In short: Unforeseen dangers can arise, and they can kill you.

In mid-February in San Francisco, investigators who reviewed last year's house fire in the Diamond Heights district that killed two city firefighters issued a set of safety recommendations aimed at preventing a similar tragedy in the future.

A sudden flare-up in the burning house, fueled by oxygen coming in from a broken window, caused the deaths of the two firefighters. The men died even though they did not commit any procedural errors, San Francisco fire officials said.

An internal safety investigation on the June 2, 2011 fire indicates that Lt. Vincent A. Perez and Firefighter Paramedic Anthony M. Valerio were killed by temperatures of up to 700 degrees caused by a sudden-moving burst of fire, known as a flashover.

The intense flashover, which lasted for several minutes, was caused when a window shattered in a ground-floor room, fueling the fire with a rush of oxygen, according to the report. The heat was drawn up a stairwell from the basement, where the fire started, towards the open window on the ground floor. Valerio and Perez were standing on the ground floor, and were killed by third degree burns from the wave of heat that came over them. "They were caught in a chimney-type situation," said Assistant Chief David Franklin, who worked on the team that prepared the report.

Investigators said the flashover was not something that could have easily been prevented or predicted. "What Vincent and Tony did is exactly what all of us firefighters would have done," said Fire Chief Joanne Hayes-White, noting that it is standard practice in the department to make an aggressive attack and try to get water on a fire as quickly as possible. "It was something that we really had no control over."

Valerio and Perez, whose Engine 26 was the first to arrive on scene after the fire was reported at 10:45 a.m., were trying to reach the seemingly small, routine fire through the front door of the four-story wood-framed home, which was built into a hillside with floors both above and below ground level. They conferred with other firefighters arriving on the scene on the ground floor at 10:53 a.m., and agreed that the fire was below them, the report said.

A short time later, around 10:58 a.m., the flashover occurred and pushed back other firefighters who were attempting to enter the building through the garage. Firefighters were ultimately able to put out the fire through a lower-level entrance on the side of the building.

Perez and Valerio were discovered on the ground floor at the top of the stairwell around 11:05 a.m., after failing to respond to several radio calls, officials said. At no time did the two firefighters send out any distress calls or trigger their emergency alarms. The last radio transmission came at 10:52 a.m., when they said, "we're still looking for it, zero visibility, more to follow," the report said.

The two men suffered internal and external burns to 40 percent of their bodies, and died of "thermal injuries," according to the San Francisco Medical Examiner. Perez died at the hospital later the same day, and Valerio died two days later.

While fire protection gear worn by the firefighters appears to have functioned as designed during the flashover, their radios were severely damaged by the intense heat.
"We're very concerned about it and believe this will become a national issue" about how to prevent radio damage from happening in the future, Hayes-White said.

The report also found that the response to the fire, caused by an electrical short, was delayed by an attempt by the residents to put it out themselves. Hayes-White urged residents to call 911 right away so that professionals can respond promptly. Even if you are not burned, it is possible that inhaling just one or two breaths of smoky air can make you unconscious from smoke inhalation, and thus unable to escape.

If you or someone you know suffers an injury such as third degree burns or smoke inhalation, you should call Kramer & Pollack LLP in Mineola, New York so that the personal injury attorneys in that firm can determine whether another party has legal liability for injuries suffered, and if the injured party has a strong legal case.