[ad_1]
Soma Dutt’s clothes were caught on fire by a gas stove while he was cooking in 2004. He said he tried to put out the fire on his own after the clothes caught fire. But when the fire could not be controlled, she began to scream for help.
Her husband was present in the house at the time. She also tried to put out the fire.
“But at the time, instinct doesn’t work. There was water in front of the kitchen. Neither of us noticed. My husband ran into the bathroom and started pouring water. By then, the fire was on.”
Soma Dutt said that 25 percent of his body was burned in the fire. Of these, 12 percent suffered serious injuries.
He said he had to visit at least two hospitals and eventually be admitted to the Dhaka Medical College Hospital.
However, after the fire broke out, they poured a lot of cold water on his body.
“A lot of cold water was poured in to reduce inflammation and cool the body. What happened was that the meat got boiled inside,” said Soma Dutt.
Not only him, hundreds of people die in different types of fires in the country every year.
According to the latest figures from the Fire Department and Civil Defense, there were 24,074 fires in the country from January to December 2019. Of these, more than 8,000 houses have caught fire.
At that time, 174 people lost their lives in the fire. And 560 people were injured.
How dangerous is the burn?
According to the World Health Organization, 15 percent of the body is burned in adults and 10 percent in children.
However, this measure does not always apply to very young children or newborns and adults. In these cases, even if less than 10 to 15 percent is burned, it can often be fatal.
The greater the number of burns, the greater the risk of death. It is also related to age. In other words, in the case of older people, even a small amount of burns can cause death.
Assistant Professor of the National Institute of Burns and Plastic Surgery Sheikh Hasina. Sharmin Akhter Sumi said that in some cases less than 30 percent of burns are also dangerous.
When the burn is very deep, when the patient is very old or very young, if the patient has some other health problem such as blood pressure, diabetes, asthma, those who are very obese, those who have weak immunity, the amount of burns she’s very tall. If not more, the situation will get much worse. “
He thinks the level of danger is also related to the number of body parts that were burned.
The human body is 100 percent captured. When more than 15 percent of them were burned, the condition began to worsen. If it is more than 30 percent, long-term treatment is necessary.
If more than 40 percent of the body is burned, the patient is considered critical.
“And if it is more than 80 percent, you are supposed to have no hope of surviving.”
How is burning fire calculated?
According to the World Health Organization, the entire body is captured 100 percent to measure burns. After that, the different parts are divided into separate parts. For example, by keeping the finger open, the palm of the whole hand is held together.
If the burn is small in size, then the size of that part is calculated as many times as the palm of the hand.
According to the agency, in the case of adults, the entire human body is calculated in 9 parts or multiples of 9.
In this regard, Dr. Sharmin Akhter Sumi said that in the case of adults, the front and back parts from the fingers to the neck are 9 percent. The forefoot is 9 percent and the rear is 9 percent. In other words, 16 percent of the entire leg is trapped.
“There are separate charts to measure them in medical science. They are measured accordingly.”
However, in the case of children, this calculation is a little different. The front and back of children’s heads are 20 percent trapped. But in adults, 9 percent of the front and back of the head are trapped.
What kinds of burns are so bad?
How deep a thing burns depends on how long it has been in contact with the fire, what type of fire it was, and what was the temperature of the thing that burned.
These combined burns are divided into three parts. These are-
Contact burn: Burn with something. Exposure to liquids or solids. Like burning in hot pots or coins.
Flame burn: Burns in direct contact with fire. That is, the fire started in the clothes or in the body.
Chemical burn: When it burns in contact with different chemicals, it is considered a chemical burn.
The burning of flames is the largest in the country, said Dr. Sharmin Akter Sumi.
According to the World Health Organization, there are three types of burns according to depth or dimension.
First degree burn: This is mainly due to the heat of the sun. May cause skin redness, pain, but not blisters.
Second degree burn: This type of burn can occur from coming into contact with a hot liquid. The skin turns red or gray and burns or glows.
Third degree burn: This causes the skin to turn black, burn, and take on a deadly shape. These burns actually occur when exposed to fire, lightning or lightning, prolonged exposure to hot liquids or metallic substances.
Why does bronchitis get worse?
It is often seen that contact with fire actually burns the airways. This type of burn is very risky, said Dr. Sharmin Akter Sumi.
If a fire starts with gasoline or any combustible substance, or if there is a gas fire or a fire in an enclosed area, the risk of burning the windpipe is greater.
He said that burns in the respiratory tract directly affect the lungs and that these burns are the most deadly.
The breath we don’t have goes to the lungs through a tube. This air contains small elements that cannot be seen with the naked eye. These go to the lungs and cause infections.
“Microorganisms in the environment or in the air cannot penetrate the skin or skin. But when the skin is full, they can easily infect the lungs and muscles.”
These microorganisms create infections in the lungs through burned airways. What causes pneumonia. Because of this, it creates additional risk, said Dr. Sharmin Akter Sumi.
What measures can be taken in the initial stage?
Doctors and experts have come up with a number of suggestions on what to do if someone is the victim of a fire.
The World Health Organization and the UK Department of National Health Services (NHS) also mentioned some of the recommendations. These are-
1. Pour a lot of water
Sheikh Hasina National Institute of Burn and Plastic Surgery Assistant Professor Dr. Sharmin Akhter Sumi said that the first half hour of burning is very important. At this time, as much water as possible should be poured into the patient’s body.
Just pouring water can reduce the number of burns.
“Where 20 percent was burned, it can be reduced to 15 or 10 percent.”
According to the UK Department of National Health Services, burned areas should be washed under cold running water for at least 20 minutes. However, you can not give ice, ice water, any type of cream and oily substances such as butter.
2. Take off your clothes and jewelry
If someone is the victim of a fire, clothing and jewelry should be removed as soon as possible.
In the case of children, if there is a diaper or diaper, it must be removed.
But if any metal or piece of cloth sticks to burned skin or muscle, it cannot be removed. In this case, the wound is more likely to grow.
After pouring water, the patient should try to keep his body warm so that hypothermia does not occur. In that case, you can wrap it with a blanket. However, care must be taken not to have any clothing on the burned part of the body.
3. Get to the hospital as soon as possible
The first 24 hours after a fire is very important. Experts believe that if the patient is taken to the hospital during this time, the risk of death can be greatly reduced.
Dr. Sharmin Akhter Sumi said that if he is taken to the hospital for the first time within 24 hours, up to 20-30 liters of saline solution can be administered depending on the patient’s need. But if more time has passed than this, it is not possible to give more than 3-4 liters. As a result, your risk increases.
The benefits of administering saline in the first 24 hours are no longer available. That is why these 24 hours are called the golden hour of burn patients.
4. Can’t give toothpaste, salt, egg whites
The burned patient should not receive toothpaste, salt, or egg white at the wound site. Initially it is sterile but then it pushes you towards infection.
These things are cleaned after they are taken to the hospital. And then there is the fear that the skin will lift because they are frozen. That is, there is a risk that your wound will deepen.
If the patient’s face or eyes are burned, try to hold them upright as long as possible. This reduces blisters or swelling.
5. You need to eat more fluids
If saline cannot be given to the burn patient, at least more saline, coconut water or liquid food should be given into the mouth.
It is also recommended to eat caloric and protein foods such as eggs or chicken. BBC
[ad_2]
