Critical Burn Patient with an Unknown Neuromuscular Disease

Knight, William A.; Gunderman, Matthew; Hinckley, William R.; Ross, David; Wichman, Carol; McKinnon, Mike

doi:10.1016/j.amj.2007.12.004

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Volume 27, Issue 3 , Pages 114-115, May 2008

Critical Burn Patient with an Unknown Neuromuscular Disease

William A. Knight IV, MD
- William A. Knight, MD, is a flight physician with Air Care and Mobile Care at University Hospital in Cincinnati, Ohio, where he is also an emergency physician and an assistant professor of emergency medicine
Matthew Gunderman, RN, BSN, CEN, EMT-P
- Matthew Gunderman RN, BSN, CEN, EMT-P, is a flight nurse with Air Care and Mobile Care and is an adjunct professor at the University of Cincinnati (RWC) and director of a nonprofit education consortium for emergency department nurses in Cincinnati
William R. Hinckley, MD, FACEP
- William R. Hinckley, MD, FACEP, is a flight physician and medical director (air) at Air Care and Mobile Care and an emergency physician and an assistant professor of emergency medicine.
David Ross, DO, FACEP
Carol Wichman, BSN, MSN
Mike McKinnon, BSN CEN, CCRN, CFRN

The following is a recount of an actual patient case involving air transport. Minor details of the case may have been changed, solely to protect the privacy of the patient. The initial presentation and treatment will be described, followed by several questions, in this issue. Readers are invited to submit responses to the questions and other thoughts or comments to David Ross, DO, at DRDR0682@aol.com. In the next issue, relevant reader responses will be published.

We will conclude the case in the next issue with a discussion of how the patient was actually managed, the outcome, a review of the related medical literature, and interviews with medical/transport experts, where appropriate. We strongly encourage reader participation.

If you have a case that might be suitable as a subject for Case Review, please submit the details to David Ross at the above email address.