A serious skin sulfur mustard burn from an artillery shell
Autor: | Olumide Danisa, Richard F. Edlich, Charles M. Ruhl, Frederick R. Sidell, Sung Jin Park, Lee S. Anthony, Bruno Papirmeister, Harvey N. Himel, Raymond F. Morgan |
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Rok vydání: | 1994 |
Předmět: |
Chemical Warfare
Male medicine.medical_specialty Geneva Protocol Chemical burn Poison control chemistry.chemical_compound Burns Chemical Mustard Gas medicine Forensic engineering Humans Skin pathology Skin business.industry Sulfur mustard Middle Aged medicine.disease humanities Surgery Chemical warfare chemistry Emergency Medicine Artillery shell Artillery business |
Zdroj: | The Journal of Emergency Medicine. 12:159-166 |
ISSN: | 0736-4679 |
DOI: | 10.1016/0736-4679(94)90693-9 |
Popis: | Despite the Geneva Protocol of 1925 and the Paris Conference on Prohibition of Chemical Weapons in 1989, sulfur mustard and other chemical weapons continue to pose a hazard to both civilians and soldiers. The presence of artillery shells containing sulfur mustard, both in waters where these shells were dumped and in old battlefields, presents a problem in times of peace, especially for those who collect wartime memorabilia. Past literature has reported several hundred incidents involving fishermen who inadvertently pulled leaking shells aboard their fishing vessels, thereby exposing themselves to the vesicant chemical. Other literature reports exposure to children who found the chemical shells in old battlefields. The purpose of this article is to report the first case of a serious sulfur mustard burn that occurred after removing the detonator from an old artillery shell in a historic battle field near Verdun, France. The circumstances surrounding the injury, the diagnosis and management of injuries secondary to sulfur mustard, and the long-term consequences to the patient are presented and discussed. Although skin grafting has been used in the management of other chemical burn injuries, this report is the first to describe the need for split-thickness skin grafts in the management of a patient with sulfur mustard burns. |
Databáze: | OpenAIRE |
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