Burn injuries from exploding electronic cigarette batteries: An emerging public health hazard

Hassan, S.; Anwar, Mohammed; Muthayya, Preetha; Jivan, Sharmila

doi:10.1016/j.bjps.2016.09.014

Cited by 17 publications

(7 citation statements)

References 2 publications

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“…In total 55 cases sustained injuries in multiple body areas. Information on total burn surface area (TBSA) was given for the majority of cases (101 Additionally, 10 publications presenting aggregate cases with traumatic injury were identified: 5 publications [129][130][131][132][133] presented a total of 86 cases from the authors' institutions; 3 publications [90,134,135] presented a total of 311 cases from the USA (however the total number of cases could be overestimated as those publications could have some mutual cases presented). Finally, 2 additional publications [136,137] presented USA burn centers cases estimated as 2035 in 2015-2017 and 1007 in 2016.…”

Section: Traumatic Injurymentioning

confidence: 99%

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

Tzortzi

Kapetanstrataki

Evangelopoulou

et al. 2020

IJERPH

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Following the recent electronic cigarette (e-cigarette) illness outbreak, the current review aimed to collect all related clinical cases for study and analysis and provide a critical synopsis of the proposed injury mechanism. Adhering to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis) guidelines, e-cigarette-related clinical cases were identified via Google Scholar and PubMed databases. Additionally, references of published case reports and previous review papers were manually searched, revealing 159 publications presenting e-cigarette-related case reports and 19 reports by the Centers for Disease Control and Prevention. 238 individual cases were identified; 53% traumatic injuries due to e-cigarette explosion or self-combustion, 24% respiratory cases, and 12% poisonings. Additional cases pertained to oral, cardiovascular, immunologic, hematologic, allergic reactions, infant complications, and altered medication levels. Case reports were mainly published between 2016–2019 (78%). The oldest case, a lipoid pneumonia, was published in 2012. The current review showed that e-cigarette-related health effects extend beyond the acute lung injury syndrome, including traumatic, thermal injuries and acute intoxications. Physicians should be aware of the distinct clinical presentations and be trained to respond and treat effectively. Regulators and public health authorities should address the regulatory gap regarding electronic nicotine delivery systems (ENDS) and novel tobacco products.

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Section: Traumatic Injurymentioning

confidence: 99%

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

Tzortzi

Kapetanstrataki

Evangelopoulou

et al. 2020

IJERPH

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“…In einigen Fällen wurde darüber berichtet, dass metallische Objekte wie z. B. Münzen in der gleichen Hosentasche transportiert wurden, was die Kurzschlusstheorie durch diese Gegenstände unterstützt [12][13][14][25][26][27]. Die Patienten dieser Studie hatten Verbrennungen gemischter Tiefenausdehnung, benötigten aber alle eine Rekonstruktion durch Spalthauttransplantationen.…”

Section: Diskussionunclassified

Viel Rauch und sonst nichts? – Verbrennungsfolgen durch E-Zigaretten-Gebrauch

Daniels

Fuchs

Oberländer

et al. 2020

Handchir Mikrochir Plast Chir

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Zusammenfassung Einleitung E-Zigaretten erfreuen sich immer größerer Beliebtheit. Neben abhängigkeitsrelevanten und pulmonalen Gesundheitsschäden häufen sich Berichte über Verbrennungsfolgen durch explodierende oder brennende E-Zigaretten. Zumeist entstehen diese Brände durch Fehler in der Lithium-Ionen-Batterie. Aufgrund der steigenden Zahlen der E-Zigaretten-Nutzer und der zunehmenden Verbrennungen durch diese Geräte möchten wir 3 Fälle unserer Klinik vorstellen und die Behandlungsstrategien erläutern. Patienten/Material und Methoden Die Fälle und retrospektiven Daten von 3 Patienten, die sich zwischen 2016 und 2019 mit Verbrennungen durch E-Zigaretten vorgestellt haben, werden dargestellt. Ergebnisse Alle 3 Patienten stellten sich in der Notaufnahme mit Verbrennungen vor, die aufgrund von in der Hosentasche explodierter E-Zigaretten aufgetreten sind. Zwei Patienten waren männlich und eine Patientin weiblich. Das Alter der Patienten betrug 24, 30 und 64 Jahre. Die verbrannten Körperoberflächen lagen zwischen 3 % und 12,5 % und benötigten Spalthauttransplantationen zwischen 1,5 % und 3,5 % der Körperoberflächen. Die Patienten konnten nach 5 bis 11 Tagen aus der stationären Krankenhausbehandlung entlassen werden. Schlussfolgerung In Zusammenschau der vorhandenen Literatur wird bei Verbrennungsverletzungen durch explodierte E-Zigaretten folgende Behandlungsstrategie empfohlen. Schwere Explosionstraumata bedürfen eines Schockraummanagements und besonders bei Explosionen während des Gebrauches sollte an ein Inhalationstrauma gedacht werden. Bei alkalischem pH-Wert der Verbrennung kann es aufgrund verbliebener metallischer Reste der E-Zigarette zu einer exothermen Reaktion in Verbindung mit Wasser kommen, sodass eine Wundspülung mit Mineralöl empfohlen wird.

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“…A total of 31 articles 8,9,11,13,[16][17][18]20,23,[25][26][27][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50] met the review's inclusion criteria ( Figure 1). These were published from 2015 to 2017 in a variety of medical journals.…”

Section: Resultsmentioning

confidence: 99%

Burn injuries caused by e-cigarette explosions: A systematic review of published cases

Seitz

Kabir

2018

Tob. Prev. Cessation

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INTRODUCTION E-cigarettes have the potential to cause burns from batteries that explode. Although e-cigarette explosion burns have been reported by the media (e.g. local online news, blogs), there is a need for a comprehensive review of published medical case reports regarding these injuries. METHODS CINAHL and PubMed were systematically searched using common terms regarding e-cigarettes (electronic cigarette, e-cigarette, vape, vaping, electronic nicotine delivery systems) in every combination with the term 'explosion'. Peerreviewed articles were included if they: were written in English, described case reports of burn injuries caused by e-cigarette explosions, and were published in any year. Cases were categorized by demographics, location of the e-cigarette explosion, burned body areas, types of burns, total body surface area of burns, the need for skin grafting, and the length of hospital stay. RESULTS Thirty-one articles were included in the review and described 164 cases. Most patients (90%) were male and between 20 to 29 years old. In the majority of cases (65%), e-cigarettes exploded in pockets, compared to exploding in the face or hand. Common burned areas included the thigh, hand, genitals, and face. Burn severity was typically second-degree burns (35%) or a combination of seconddegree and third-degree burns (20%). In all, 48 patients required skin grafting, with 19 reporting a median hospital stay of 5 days. CONCLUSIONS This review has several implications, including the need for regulation of batteries, education regarding battery safety, and leveraging images of the severity of e-cigarette explosion burns to discourage the use of e-cigarettes.

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Burn injuries from exploding electronic cigarette batteries: An emerging public health hazard

Cited by 17 publications

References 2 publications

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

Viel Rauch und sonst nichts? – Verbrennungsfolgen durch E-Zigaretten-Gebrauch

Burn injuries caused by e-cigarette explosions: A systematic review of published cases

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