1
|
Dündar AS, Sarın AB. Infant Electrocution Due to Smartphone Charge Cable-A Hidden Public Health Risk. Am J Forensic Med Pathol 2023; 44:140-143. [PMID: 36989107 DOI: 10.1097/paf.0000000000000826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/30/2023]
Abstract
ABSTRACT The report examines the autopsy and scene of accident findings of a 9-month-old male infant who died from electric shock when he bit a telephone charge cable plugged into a 3-socket extension lead.At the time of the incident, the infant's father was working outside and his mother had gone to the bathroom, leaving the infant alone in the sitting room. The infant crawled across the floor, reached a telephone charge cable that was plugged into a 3-socket extension lead, and bit the end of the cable. He was found lying motionless on the floor, holding the cable in his hand. He was sent to center for the medicolegal autopsy, during which burns and electric shock entry wounds were found on his mouth, tongue, and right hand. Histopathological examination of the samples taken from the wounds garnered findings consistent with electric shock and thermal effect.This article presents findings of an electric shock entry wound on the tongue, which is rarely seen as the result of a domestic accident. Education is needed to increase awareness among parents about accidents in the home involving children and to encourage preference for electrical products that have shown high success in safety tests.
Collapse
|
2
|
Biswas A, Dalal K, Sawon RA, Mayaboti CA, Mashreky SR. Emergency management for severe burn (EMSB) course for the nurses in Bangladesh: opportunity and way forward. Heliyon 2022; 8:e09156. [PMID: 35846460 PMCID: PMC9280581 DOI: 10.1016/j.heliyon.2022.e09156] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2021] [Revised: 08/03/2021] [Accepted: 03/17/2022] [Indexed: 11/26/2022] Open
Abstract
Background Methodology Results Conclusions
Collapse
|
3
|
Exploration of gaps and challenges in managing burn injury at district and sub-district government health care facilities in Bangladesh. BURNS OPEN 2020. [DOI: 10.1016/j.burnso.2019.11.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
|
4
|
Hardon SF, Haasnoot PJ, Meij-de Vries A. Burn wounds after electrical injury in a bathtub: a case report. J Med Case Rep 2019; 13:304. [PMID: 31554506 PMCID: PMC6761724 DOI: 10.1186/s13256-019-2231-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2019] [Accepted: 08/13/2019] [Indexed: 11/27/2022] Open
Abstract
Background Increased smartphone use among minors makes our population more prone to electrical injury. Despite regulations on electrical home safety standards, smartphones and chargers still pose a risk for severe injury among users. Case presentation We present a case of a patient with low-voltage electrical burns due to smartphone use in a bathtub. The 13-year-old Caucasian patient was using a smartphone plugged into the electrical grid while taking a bath. We report the burns and their treatment. We discuss the likely burn mechanism. Conclusions Burn wounds after electrical injury due to smartphone use are rare. The presented case shows the danger of smartphone use in bathtubs.
Collapse
Affiliation(s)
- Sem F Hardon
- Department of Surgery, Amsterdam UMC - VU University Medical Center, Room ZH 7F 020, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands.
| | - Pieter J Haasnoot
- Department of Surgery, Red Cross Hospital, Beverwijk, The Netherlands
| | - Annebeth Meij-de Vries
- Department of Surgery, Red Cross Hospital, Beverwijk, The Netherlands.,Burn Center, Red Cross Hospital, Beverwijk, The Netherlands
| |
Collapse
|
5
|
Ashraf L, Agrawal P, Rahman A, Salam SS, Li Q. Burden of Lesser-Known Unintentional Non-Fatal Injuries in Rural Bangladesh: Findings from a Large-Scale Population-Based Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E3366. [PMID: 31547240 PMCID: PMC6766074 DOI: 10.3390/ijerph16183366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Revised: 09/09/2019] [Accepted: 09/11/2019] [Indexed: 11/17/2022]
Abstract
Around 90% of all fatal and non-fatal unintentional injuries occur in low- and middle-income countries (LMICs). The magnitude of unintentional injuries is unclear due to limited research and data. This paper describes the burden of lesser-known injuries (LKIs-cut injuries, unintentional poisoning, machine injuries, electrocution, injury by blunt objects, and suffocation) in rural Bangladesh, using data from the Saving of Lives from Drowning (SoLiD) project in Bangladesh. Descriptive statistics were used to report counts and rates of injuries by socio-demographic factors, injury characteristics, and circumstantial details. The annual morbidity rate of LKIs was 6878 injuries per 100,000 persons, involving 3.4% (40,520) of the population. Cut injury (44,131.2/100,000 per year) and injury by blunt objects (19768.6/100,000 per year) attributed in large numbers to the overall burden of LKIs. Males (66.1%) suffered more injuries than females. More than half (52.9%) occurred among people aged 25 to 64 years. Those involved in agriculture suffered the most injuries, mainly cut injuries (9234.1/100,000 per year) and machine-related injuries (582.9/100,000 per year). Most injuries occurred in the home setting. Increased awareness about packaging, storage, and the proper handling of appliances can help lower the frequency of LKIs. Safe architecture and awareness about home injuries is required to reduce injuries occurring in the home environment.
Collapse
Affiliation(s)
- Lamisa Ashraf
- MPH 2019 Graduate, Johns Hopkins Bloomberg School of Public Health; 615 N Wolfe Street, Baltimore, MD 21205, USA.
| | - Priyanka Agrawal
- International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street, Baltimore, MD 21205, USA.
| | - Aminur Rahman
- Center for Injury Prevention and Research, Bangladesh, House B 162, Rd No. 23, Dhaka 1206, Bangladesh.
| | - Shumona Sharmin Salam
- International Center for Diarrheal Disease Research, Bangladesh, 68, Shaheed Tajuddin Ahmed Sarani Mohakhali, Dhaka 1212, Bangladesh.
| | - Qingfeng Li
- International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street, Baltimore, MD 21205, USA.
| |
Collapse
|
6
|
Predictive Factors for Clinical Severity and Cardiopulmonary Arrest in Pediatric Electrical Injuries in Southeastern Turkey. Pediatr Emerg Care 2018; 34:661-664. [PMID: 27668917 DOI: 10.1097/pec.0000000000000832] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE An electrical injury (EI) is an emergency that causes high morbidity and mortality each year. The aim of this study was to define the epidemiological, clinical, and laboratory factors that might predict severe patients and cardiac arrest in pediatric EI cases. METHODS All of the patients' medical files were reviewed retrospectively through a 2-year period for the demographic, clinical, and laboratory findings. The patients were classified into the severe injury group or the mild injury group. The SPSS (Chicago, Ill) software was used to analyze the data. RESULTS Among the 38 patients, 18 patients (47.4%) were in the mild group, and 20 patients (52.6%) were in the severe group. Low-voltage injuries were observed in 35 (92.1%) of the patients. Most of the severe patients were injured with low voltage (75%) and in household settings (85%). Plug and sockets were the most observed source of the injuries in all of the patients, whereas water-related injuries were most prevalent in the severe group. The source of injury was different in the mild and severe groups (P = 0.009). In the severe group, 13 patients (34.2%) were resuscitated after cardiopulmonary arrest. In the multivariate analysis of the demographic data, the most predictive parameters for cardiac arrest and the clinical severity in EIs are the factors of electrical cables and water. CONCLUSIONS Electrical injuries are a significant concern in the pediatric population. Our results showed that low voltage and household electricity could cause morbidity and mortality.
Collapse
|
7
|
Biswas A, Abdullah ASM, Dalal K, Deave T, Rahman F, Mashreky SR. Exploring perceptions of common practices immediately following burn injuries in rural communities of Bangladesh. BMC Health Serv Res 2018; 18:467. [PMID: 29914495 PMCID: PMC6006944 DOI: 10.1186/s12913-018-3287-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2016] [Accepted: 06/11/2018] [Indexed: 11/16/2022] Open
Abstract
Background Burns can be the most devastating injuries in the world, they constitute a global public health problem and cause widespread public health concern. Every year in Bangladesh more than 365,000 people are injured by electrical, thermal and other causes of burn injuries. Among them 27,000 need hospital admission and over 5600 people die. Immediate treatment and medication has been found to be significant in the success of recovering from a burn. However, common practices used in the treatment of burn injuries in the community is not well documented in Bangladesh. This study was designed to explore the perception of local communities in Bangladesh the common practices used and health-seeking behaviors sought immediately after a burn injury has occurred. Methods A qualitative study was conducted using Focus Group Discussions (FGD) as the data collection method. Six unions of three districts in rural Bangladesh were randomly selected and FGDs were conducted in these districts with six burn survivors and their relatives and neighbours. Data were analyzed manually, codes were identified and the grouped into themes. Results The participants stated that burn injuries are common during the winter in Bangladesh. Inhabitants in the rural areas said that it was common practice, and correct, to apply the following to the injured area immediately after a burn: egg albumin, salty water, toothpaste, kerosene, coconut oil, cow dung or soil. Some also believed that applying water is harmful to a burn injury. Most participants did not know about any referral system for burn patients. They expressed their dissatisfaction about the lack of available health service facilities at the recommended health care centers at both the district level and above. Conclusions In rural Bangladesh, the current first-aid practices for burn injuries are incorrect; there is a widely held belief that using water on burns is harmful.
Collapse
Affiliation(s)
- Animesh Biswas
- Reproductive and Child Health Department, Centre for Injury Prevention and Research, Bangladesh (CIPRB), House B 162, Road 23, New DOHS, Mohakhali, Dhaka, 1206, Bangladesh.
| | - Abu Sayeed Md Abdullah
- Reproductive and Child Health Department, Centre for Injury Prevention and Research, Bangladesh (CIPRB), House B 162, Road 23, New DOHS, Mohakhali, Dhaka, 1206, Bangladesh
| | - Koustuv Dalal
- Department of Public Health Science, School of Health and Medical Sciences, Örebro University, Örebro, Sweden
| | - Toity Deave
- Centre for Child & Adolescent Health, Faculty of Health & Applied Sciences, University of the West of England, Bristol, UK
| | - Fazlur Rahman
- Reproductive and Child Health Department, Centre for Injury Prevention and Research, Bangladesh (CIPRB), House B 162, Road 23, New DOHS, Mohakhali, Dhaka, 1206, Bangladesh.,Bangladesh University of Health sciences (BUHS), Dhaka, Bangladesh
| | - Saidur Rahman Mashreky
- Reproductive and Child Health Department, Centre for Injury Prevention and Research, Bangladesh (CIPRB), House B 162, Road 23, New DOHS, Mohakhali, Dhaka, 1206, Bangladesh.,Bangladesh University of Health sciences (BUHS), Dhaka, Bangladesh
| |
Collapse
|
8
|
Epidemiology and Outcome of Childhood Electrical Burn Injuries at Pakistan Institute of Medical Sciences Islamabad, Pakistan. J Burn Care Res 2016; 37:e174-80. [PMID: 25423434 DOI: 10.1097/bcr.0000000000000202] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
9
|
Chalkias A, Iacovidou N, Xanthos T. Continuous chest compression pediatric cardiopulmonary resuscitation after witnessed electrocution. Am J Emerg Med 2013; 32:686.e1-2. [PMID: 24418444 DOI: 10.1016/j.ajem.2013.12.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2013] [Accepted: 12/02/2013] [Indexed: 10/25/2022] Open
Abstract
Electrical injury is a relatively infrequent but potentially devastating multisystem injury with high morbidity and mortality. We describe the case of an 11-year-old boy who suffered loss of his consciousness after touching an electrical cable.
Collapse
Affiliation(s)
- Athanasios Chalkias
- National and Kapodistrian University of Athens, Medical School, MSc "Cardiopulmonary Resuscitation", Athens, Greece; Hellenic Society of Cardiopulmonary Resuscitation, Athens, Greece.
| | - Nicoletta Iacovidou
- Hellenic Society of Cardiopulmonary Resuscitation, Athens, Greece; 2nd Department of Obstetrics and Gynecology, Neonatal Division, National and Kapodistrian University of Athens, Medical School, Athens, Greece
| | - Theodoros Xanthos
- National and Kapodistrian University of Athens, Medical School, MSc "Cardiopulmonary Resuscitation", Athens, Greece; Hellenic Society of Cardiopulmonary Resuscitation, Athens, Greece
| |
Collapse
|
10
|
Li SY, Zou DH, Luo YW, Sun QR, Deng KF, Chen YJ, Huang P. Characteristics of electrically injured skin from human hand tissue samples using Fourier transform infrared microspectroscopy. Sci Justice 2013; 54:98-104. [PMID: 24438785 DOI: 10.1016/j.scijus.2013.07.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2013] [Revised: 07/17/2013] [Accepted: 07/17/2013] [Indexed: 10/26/2022]
Abstract
This technical note describes a method for distinguishing normal skin tissue samples from those electrically injured by Fourier transform infrared microspectroscopy (FTIR MSP). Furthermore, the infrared spectral features of electrically injured cells and tissues were evaluated to identify molecular changes in epidermal cells. In the present study, 20 human hand tissue samples were evaluated macroscopically and histopathologically. The electrically injured skin samples were subdivided into 2 regions [normal cell regions (NCRs) and polarized cell regions (PCRs)] and 14 major spectral absorption bands were selected. The spectral results showed that the band absorbance at 1080, 1126, 1172, 1242, 1307, 1403, 1456, 1541, 2852, 2925, 2957, 3075, and 3300cm(-1) increased significantly both in the stratum and non-stratum corneum of the PCRs in electrically injured skin tissues samples. No significant difference was found between normal skin and the NCR of the electrically injured skin samples. The band absorbance ratios of A1172/A1126, A1456/A1403, and A2925/A2957 were significantly increased, whereas the A1652/A1541 ratio was decreased in the PCR of the stratum corneum and non-stratum corneum. Baseline changes from 4000 to near 1737cm(-1) were observed in the spectra of the electrically injured skin samples, which were interpreted in terms of the pathological process involved in electrical injury. FTIR-MSP presents a useful method to provide objective spectral markers for the assisted diagnosis of electrical marks.
Collapse
Affiliation(s)
- Shi-Ying Li
- Department of Forensic Pathology, Institute of Forensic Science, Ministry of Justice, 200063, Shanghai, P.R. China; Department of Forensic Medicine, Shanghai Medical College, Fudan University, 200032, Shanghai, P.R. China
| | - Dong-Hua Zou
- Department of Forensic Pathology, Institute of Forensic Science, Ministry of Justice, 200063, Shanghai, P.R. China
| | - Yi-Wen Luo
- Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, 200063, Shanghai, P.R. China
| | - Qi-Ran Sun
- Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, 200063, Shanghai, P.R. China
| | - Kai-Fei Deng
- Shanghai Key Laboratory of Forensic Medicine, Institute of Forensic Science, Ministry of Justice, 200063, Shanghai, P.R. China
| | - Yi-Jiu Chen
- Department of Forensic Pathology, Institute of Forensic Science, Ministry of Justice, 200063, Shanghai, P.R. China.
| | - Ping Huang
- Department of Forensic Pathology, Institute of Forensic Science, Ministry of Justice, 200063, Shanghai, P.R. China.
| |
Collapse
|
11
|
Golshan A, Patel C, Hyder AA. A systematic review of the epidemiology of unintentional burn injuries in South Asia. J Public Health (Oxf) 2013; 35:384-96. [DOI: 10.1093/pubmed/fds102] [Citation(s) in RCA: 67] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
12
|
Cross JM. Comment on Epidemiology of childhood electrocution in Bangladesh. Burns 2011; 37:724; author reply 722-3. [DOI: 10.1016/j.burns.2010.12.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2010] [Accepted: 12/10/2010] [Indexed: 10/18/2022]
|