Burns caused by electronic vaping devices (e-cigarettes): A new classification proposal based on mechanisms

Serror, Kévin; Chaouat, Marc; Legrand, Matthieu; Dépret, François; Haddad, Jonathan; Malca, N.; Mimoun, Maurice; Boccara, David

doi:10.1016/j.burns.2017.09.005

Cited by 23 publications

(18 citation statements)

References 21 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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“…Since the advent of electronic cigarettes in 2003 in China, the number of injuries attributed to their use continues to rise . More recently, a new classification system was proposed based on mechanism of injury secondary to e‐cigarette combustions . This case report is the first to report explosive injury to the upper aerodigestive tract secondary to spontaneous combustion of a lithium‐ion battery in a flashlight.…”

Section: Discussionmentioning

confidence: 92%

Oropharyngeal Injury From Spontaneous Combustion of a Lithium‐ion Battery: A Case Report

2018

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Lithium-ion batteries have been used for more than 20 years, most recently to power handheld devices including cellphones and electronic nicotine-delivery systems. They have garnered significant media attention due to thermal-related injuries occurring after spontaneous combustion. Spontaneous combustion of a lithium-ion battery occurs due to a process that is referred to as the thermal runaway effect. Here, we review the case of a 25-year-old female with severe oropharyngeal and upper aerodigestive thermal injuries after spontaneous combustion of a lithium-ion battery in a flashlight. We discuss the associated management and provide a review of the literature detailing similar injuries. Laryngoscope, 2018.

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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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Burns caused by electronic vaping devices (e-cigarettes): A new classification proposal based on mechanisms

Cited by 23 publications

References 21 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

Oropharyngeal Injury From Spontaneous Combustion of a Lithium‐ion Battery: A Case Report

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

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