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Smoke Inhalation Case Study

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Discuss the possible damage with short term and long-term complications of a firefighter inhaling heated air and in respiratory distress. Prioritize the necessary interventions to stabilize the patient. Then discuss an in-depth plan of care for recovery.
Smoke inhalation is known as the leading cause of death due to fires. Firefighters are trained to recognize the dangerous short-term effects of smoke exposure caused by carbon monoxide and tiny particles absorbed into the lungs. The inhalation of heated air produces injury through several mechanisms, including thermal injury to the upper airway, irritation or chemical injury to the airways from soot, asphyxiation, and toxicity from carbon monoxide. In most cases firefighters can wear devices …show more content…
Smoke inhalation causes acute life-threatening injuries and results in long-term lung and neurological damage. The short-term effects of a firefighter inhaling heated air may result in hypoxemia due to smoke inhalation; can similarly cause acute respiratory symptoms and acute decrements in lung function. Persistence of these decrements in some cases suggest decrements are not merely caused by irritant bronchoconstriction; and also cause acute increases in airway responsiveness. The long-term complications of a firefighter inhaling heated air can result in chronic bronchitis and abnormal lung function. Numerous studies have been done however it remains unclear whether or not the repeated exposure to smoke which commonly occurs in firefighting may be linked with chronic pulmonary …show more content…
The patients are put on 100-percent oxygen while an examination is conducted. Early tracheal intubation is done if there is evidence of upper airway edema or respiratory insufficiency. When the patient is redirected to the hospital the treatment in there usually requires a bronchoscopy, and a large tube enables this procedure. There is then use of Rapid Sequence Intubation (RSI). Lower tidal volumes and plateau pressures with high positive end-expiratory pressure (PEEP) and permissive hypercapnia have also become widely accepted management regimes for patients with acute lung injury resulting from smoke inhalation. High-frequency ventilation has also been found helpful for patients who have inhaled heated

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