Skip to main content
British Medical Journal (Clinical Research Ed.) logoLink to British Medical Journal (Clinical Research Ed.)
. 1986 May 17;292(6531):1303–1305. doi: 10.1136/bmj.292.6531.1303

Mortality probability in victims of fire trauma: revised equation to include inhalation injury.

C J Clark, W H Reid, W H Gilmour, D Campbell
PMCID: PMC1340311  PMID: 3085823

Abstract

There are no clear guidelines on the early diagnosis of injury due to inhalation of smoke. A clinical scoring system in the form of a previously prepared questionnaire may be used in the accident and emergency department by staff who are inexperienced in the management of inhalation injury. By quantifying injury due to smoke inhalation, its contribution to mortality in a large group of fire victims was established and a revised mortality probability equation derived using age, percentage surface area of the burn, and extent of inhalation injury. This mortality probability equation may be used to divide patients into risk categories for early intensive care management and allows the comparison of mortality data between accident and emergency units receiving varying numbers of patients with injuries due to burns and smoke inhalation.

Full text

PDF
1303

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Black D. A. Treatment of Burn Shock with Plasma and Serum. Br Med J. 1940 Nov 23;2(4168):693–697. doi: 10.1136/bmj.2.4168.693. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bull J. P. Revised analysis of mortality due to burns. Lancet. 1971 Nov 20;2(7734):1133–1133. doi: 10.1016/s0140-6736(71)91286-4. [DOI] [PubMed] [Google Scholar]
  3. Clark C. J., Campbell D., Reid W. H. Blood carboxyhaemoglobin and cyanide levels in fire survivors. Lancet. 1981 Jun 20;1(8234):1332–1335. doi: 10.1016/s0140-6736(81)92516-2. [DOI] [PubMed] [Google Scholar]
  4. DiVincenti F. C., Pruitt B. A., Jr, Reckler J. M. Inhalation injuries. J Trauma. 1971 Feb;11(2):109–117. doi: 10.1097/00005373-197102000-00002. [DOI] [PubMed] [Google Scholar]
  5. Grendell J. H., Cello J. P., Margaretten W., Heilbron D. C. Impact of preshunt liver histology on survival following portasystemic shunt surgery for bleeding esophageal varices. Dig Dis Sci. 1983 Jan;28(1):44–55. doi: 10.1007/BF01393360. [DOI] [PubMed] [Google Scholar]
  6. Jackson D. M. McIndoe lecture, 1978. Burns: McIndoe's contribution and subsequent advances. Ann R Coll Surg Engl. 1979 Sep;61(5):335–340. [PMC free article] [PubMed] [Google Scholar]
  7. Stone H. H., Rhame D. W., Corbitt J. D., Given K. S., Martin J. D., Jr Respiratory burns: a correlation of clinical and laboratory results. Ann Surg. 1967 Feb;165(2):157–168. doi: 10.1097/00000658-196702000-00001. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from British Medical Journal (Clinical research ed.) are provided here courtesy of BMJ Publishing Group

RESOURCES