Abstract:
First discovered in 1669, white phosphorus is well known for its use in military warfare (Davis, 2002). Its application has since been expanded to include industrial disinfectants, fertilisers and fireworks (Davis, 2002). Exposure to white phosphorus can lead to severe chemical burns with high morbidity and potentially fatal systemic effects. Fortunately, civilian casualties from this potent agent are remarkably rare with few reports in the literature to date (Frank et al., 2008; Aviv et al., 2017). We present the case of a 27-year-old fisherman who sustained a chemical burn to his right hand from a substance suspected to be white phosphorus. We propose an evidence-based algorithm to guide non-military physicians literature on the acute management of white phosphorus burns to optimise timely emergency management of this uncommonly encountered substance.
摘要:
首次发现于1669年,白磷以其在军事战争中的使用而闻名(戴维斯,2002).它的应用已经扩展到包括工业消毒剂,化肥和烟花(戴维斯,2002).暴露于白磷会导致严重的化学烧伤,具有高发病率和潜在的致命全身性影响。幸运的是,平民伤亡从这个强大的代理人是非常罕见的,在文献中的报道很少(弗兰克等人。,2008;Aviv等人。,2017)。我们介绍了一名27岁的渔民的案例,他的右手被怀疑是白磷的物质化学烧伤。我们提出了一种基于证据的算法,以指导非军事医生有关白磷烧伤急性管理的文献,以优化对这种罕见物质的及时应急管理。