Air Medical Journal
Volume 27, Issue 4 , Pages 160-166, July 2008

Critical Burn Patient with an Unknown Neuromuscular Disease: Conclusion

  • William A. Knight IV, MD

      Affiliations

    • William A. Knight IV, 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

      Affiliations

    • Matthew Gunderman, RN, BSN, CEN, EMT-P, is a flight nurse with Air Care and Mobile Care and an adjunct professor at the University of Cincinnati (RWC) and director of a non-profit education consortium for emergency department nurses in Cincinnati.
    • ,
  • William R. Hinckley, MD, FACEP

      Affiliations

    • William R. Hinckley, MD, FACEP, is a flight physician and medical director (air) at Air Care and Mobile Care and an emergency physician and assistant professor of emergency medicine.

A 37-year-old man was severely burned while trying to fill a lighter with fuel while smoking. He sustained full-thickness (third-degree) burns over 60% to 70% of his body, including the oropharynx. A ground-based paramedic was unable to orotracheally intubate the patient after the administration of morphine and diazepam.

The flight crew's assessment found an awake, alert man who was unable to speak because of his oral injuries. The Glasgow Coma Scale was estimated to be 10. In addition, the patient was wheelchair-bound from an undefined neuromuscular disease. The patient was successfully intubated by the flight team as in the following description.

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 David W. Ross, DO, FACEP, Carol Wichman, BSN, MSN, and Mike MacKinnon, BSN, CCRN, CFRN, are section editors. They can be reached at DRDR0682@aol.com.

PII: S1067-991X(08)00054-0

doi:10.1016/j.amj.2008.03.007

Air Medical Journal
Volume 27, Issue 4 , Pages 160-166, July 2008

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