79 Electronic Cigarette-Related Injuries Presenting to Five Large Burn Centers, 2015–2019

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S54-S55
Author(s):  
Carmen E Flores ◽  
Paul J Chestovich ◽  
Syed F Saquib ◽  
Joseph T Carroll ◽  
Mariam Al-Hamad Daubs ◽  
...  
Keyword(s):  
Thermal Injury ◽  
Spontaneous Combustion ◽  
Electronic Cigarettes ◽  
Total Body Surface Area ◽  
Public Health Problem ◽  
Electronic Cigarette ◽  
Outpatient Basis ◽  
Burn Centers ◽  
Split Thickness Skin Grafting ◽  
Inpatient Basis

Abstract Introduction Electronic cigarettes are advertised as safer alternatives to smoking cigarettes yet can cause serious injury. As consumer use of electronic cigarettes has increased, burn centers have witnessed a rise in both inpatient and outpatient visits to treat thermal and blast injuries related to their use. Methods A multicenter retrospective chart review of ABA burn registry data from 5 large burn centers was performed from January 2015 to July 2019 to identify patients who sustained Electronic Nicotine Delivery Systems (ENDS)-related injuries. Results A total of 127 patients with electronic cigarette-related injuries were identified, of which 113 were male (89%) and 14 were female (11%). Mean age was 34.0 years (SD 13.5%, range 1–75 years). The majority of patients (n=92, 72%) were treated on an inpatient basis, and average length of stay was 6.7 days. Most patients sustained less than 10% total body surface area burns (mean 3.8%, SD 2.6%, range 0.1% to 16.5%). 66% (n=85) sustained 2nd degree burns, and 36% (n=46) sustained 3rd degree burns. Most patients were injured while using the ENDS (n=100, 78%), while 18% (n=24) of patients reported spontaneous combustion. 2 patients (1.5%) were injured while changing their device battery, and 2 patients (1.5%) were injured while modifying the device. 3% (n=4) were injured by second-hand mechanism. Burn injury was the most common injury pattern (100%), followed by blast injury (n=81, 63%). Flame burns were the most common (n=89, 70%) type of thermal injury, followed by contact burns (n= 70, 55%), flash burns (n=47, 37%), chemical burns (n=2, 1.5%), and electrical burns (n=1, 0.7%). The most commonly injured body region was the extremities. There were no ENDS-related deaths. Silvadene was the most common topical agent used in the initial management of thermal injuries, followed by Bacitracin and Xeroform. 63% (n=80) of patients did not require surgery, while 36% (n=46) required surgical excision, and 15% (n=20) required split-thickness skin grafting. Multiple surgeries were uncommon. 22% of patients required one operation, 12% required two operations, and 2% required 3 operations. Conclusions Our data recognizes use of ENDS as a growing public health problem with potential to cause thermal injury and secondary trauma. Most injuries occur during use, however many result from spontaneous combustion while the device is not being used. Treatment of ENDS-related injuries is institution-dependent. Most patients are treated on an inpatient basis however the majority of patients treated on outpatient basis have good outcomes.

Electronic Cigarette-Related Injuries Presenting to Five Large Burn Centers, 2015-2019

2021 ◽  
Author(s):  
Carmen E Flores ◽  
Paul J Chestovich ◽  
Syed Saquib ◽  
Joseph Carroll ◽  
Mariam Al-Hamad ◽  
...  
Keyword(s):  
Thermal Injury ◽  
Burn Injury ◽  
Electronic Cigarettes ◽  
Total Body Surface Area ◽  
Public Health Problem ◽  
Electronic Cigarette ◽  
Body Region ◽  
Outpatient Basis ◽  
Burn Centers ◽  
Thermal Injuries

Abstract Electronic cigarettes are advertised as safer alternatives to traditional cigarettes yet cause serious injury. US burn centers have witnessed a rise in both inpatient and outpatient visits to treat thermal injuries related to their use. A multicenter retrospective chart review of American Burn Association burn registry data from 5 large burn centers was performed from January 2015 to July 2019 to identify patients with electronic cigarette-related injuries. A total of 127 patients were identified. Most sustained less than 10% total body surface area burns (mean 3.8%). Sixty-six percent sustained 2nd degree burns. Most patients (78%) were injured while using their device. Eighteen percent of patients reported spontaneous device combustion. Two patients were injured while changing their device battery, and two were injured modifying their device. Three percent were injured by second-hand mechanism. Burn injury was the most common injury pattern (100%), followed by blast injury (3.93%). Flame burns were the most common (70%) type of thermal injury; however, most patients sustained a combination-type injury secondary to multiple burn mechanisms. The most injured body region was the extremities. Silver sulfadiazine was the most common agent used in initial management of thermal injuries. Sixty-three percent of patients did not require surgery. Of the 36% requiring surgery, 43.4% required skin grafting. Multiple surgeries were uncommon. Our data recognizes electronic cigarette use as a public health problem with potential to cause thermal injury and secondary trauma. Most patients are treated on an inpatient basis although most patients treated on outpatient basis have good outcomes.

scholarly journals From Tobacco Cigarettes to Electronic Cigarettes: The Two Sides of a Nicotine Coin

2021 ◽  
Vol 2 ◽  
Author(s):  
Ahmad Besaratinia
Keyword(s):  
Electronic Cigarettes ◽  
Public Health Problem ◽  
The United States ◽  
Multiple Organ ◽  
Electronic Cigarette ◽  
Global Challenge ◽  
Current State ◽  
Quit Smoking ◽  
Tobacco Epidemic ◽  
Lower Health

Tobacco smoking-related diseases, including cardiovascular disease, pulmonary disease, stroke, and cancer in multiple organ sites, are the leading causes of preventable death, worldwide. Youth electronic cigarette use (vaping) is an evolving public health problem in the United States and around the world. Many of the same toxicants and carcinogens present in tobacco smoke are also found in electronic cigarette vapor, although mostly at substantially lower levels. The reduced concentrations of these chemicals in electronic cigarette vapor may imply lower health risk; however, they cannot equate to no risk. To date, the long-term health consequences of vaping are largely unknown. This “Perspective” provides a concise chronology of events leading up to an unprecedented global challenge, namely the convergence of global tobacco epidemic and youth vaping epidemic. Current state of knowledge, outstanding questions in the field, present challenges, and future directions in research are highlighted. The existing data show a continued and dynamic evolution of the converged epidemics. The goal should be to prevent youth vaping while improving smoking cessation strategies. In smokers who are unable or unwilling to quit smoking, the objective should be to provide “provably” safe or less-harmful alternatives, which should “completely” or “substantially” substitute tobacco cigarettes.

Electronic cigarette burns: A case series

Trauma ◽  
2018 ◽  
Vol 21 (2) ◽  
pp. 103-106 ◽  
Author(s):  
Cameron JS Gibson ◽  
Niknam Eshraghi ◽  
Nathan A Kemalyan ◽  
Charles Mueller
Keyword(s):  
Lithium Ion Battery ◽  
Medical Literature ◽  
Electronic Cigarettes ◽  
Total Body Surface Area ◽  
Case Series ◽  
Lithium Ion ◽  
Electronic Cigarette ◽  
Full Thickness ◽  
Total Body ◽  
Partial Thickness Burns

Background There have been many reports of electronic cigarette burns and lithium ion battery explosions leading to property and/or bodily damage, but there is a paucity of data about these injuries in the medical literature. We present a series of patients treated for electronic cigarette burns and lithium ion explosions and review the literature. Methods Patients treated for electronic cigarette burns between January 2012 and December 2016 were identified. Patients were included if they suffered injuries from either an electronic cigarette device or from batteries used in the devices. Data were collected on the mode of injury, depth, size, and location of the burn, whether or not they had any surgeries and length to recovery. Results Fourteen patients were treated for electronic cigarette burns between 2012 and 2016. Burn size ranged from <1% to 6% total body surface area. Most patients suffered burns to their thighs because the battery or device exploded in their pocket. The majority suffered partial thickness burns while four patients had full thickness burns. Three patients required excision and autografting, all of which were full thickness burns. The average time to recovery was 24.5 days. Conclusions Electronic cigarettes pose a new and unique risk to consumers. Lithium ion battery explosions can cause severe injury and significant burns requiring surgery. The incidence of e-cigarette burns are expected to increase as the number of users grow.

scholarly journals Electronic Cigarette: Role in the Primary Prevention of Oral Cavity Cancer

2016 ◽  
Vol 9 ◽  
pp. CMENT.S40364 ◽  
Author(s):  
Teresa Franco ◽  
Serena Trapasso ◽  
Lidia Puzzo ◽  
Eugenia Allegra
Keyword(s):  
Primary Prevention ◽  
Oral Cavity ◽  
Oral Cavity Cancer ◽  
Electronic Cigarettes ◽  
Micronucleus Assay ◽  
Electronic Cigarette ◽  
Cytologic Examination ◽  
Oral Cavity Carcinoma ◽  
Gender And Age ◽  
Tobacco Addiction

Background Cigarette smoke has been identified as the main cause of oral cavity carcinoma. Recently, the electronic cigarette, a battery-operated device, was developed to help smokers stop their tobacco addiction. This study aimed to evaluate the safety of electronic cigarettes and to establish the possible role of such device in the primary prevention of oral cavity cancer. Subjects and Methods This study included 65 subjects who were divided into three groups (smokers, e-cigarette smokers, and nonsmokers). All subjects were submitted to cytologic examination by scraping of oral mucosa. The slides were microscopically evaluated through a micronucleus assay test. Results The prevalence of micronuclei was significantly decreased in the e-cigarette smoker group. There were no statistically significant differences in micronuclei distribution according to the type of cigarette, gender, and age. Conclusions The use of electronic cigarettes seems to be safe for oral cells and should be suggested as an aid to smoking cessation.

Effects of Electronic Cigarette Liquid Flavors and Modified Risk Messages on Perceptions and Subjective Effects of E-Cigarettes

2018 ◽  
Vol 46 (2) ◽  
pp. 197-203 ◽  
Author(s):  
Rose S. Bono ◽  
Andrew J. Barnes ◽  
Rebecca C. Lester ◽  
Caroline O. Cobb
Keyword(s):  
Tobacco Control ◽  
Electronic Cigarettes ◽  
Subjective Effects ◽  
Mixed Effects ◽  
Electronic Cigarette ◽  
Cigarette Smokers ◽  
Linear Mixed Effects ◽  
Within Subjects ◽  
Carcinogen Exposure

Understanding how two characteristics—flavors and modified risk messages—affect perceptions and subjective effects of electronic cigarettes (e-cigarettes) can inform tobacco control efforts. In two within-subjects studies ( N = 17 and N = 19), the effects of e-cigarette flavors (tobacco vs. menthol and unflavored vs. cherry) and hypothetical modified risk messages (“reduced harm relative to cigarettes” vs. no message and “reduced carcinogen exposure relative to cigarettes” vs. no message) on cigarette smokers’ perceptions of e-cigarettes were measured after participants self-administered condition-specific products (own-brand cigarettes; e-cigarettes). Perceptions/subjective effects were tested using linear mixed-effects regressions. Cigarettes were perceived as most harmful but rated more positively than e-cigarettes ( ps < .05). Cherry and menthol e-cigarettes increased perceived pleasantness, taste, and physical sensations compared with unflavored and tobacco-flavored e-cigarettes, respectively ( ps < .05). Modified risk messages were associated with reduced ratings of aversive effects ( ps < .05) but not harm perceptions. Overall, few perceptions/subjective effects differed by e-cigarette flavor or message. Flavors and messages may have some influence on how smokers experience e-cigarettes.

scholarly journals Dampak Ekonomi dan Kesehatan pada Konsumen Rokok Elektronik di Kota Bandung

2019 ◽  
Author(s):  
Estro Dariatno Sihaloho ◽  
Irlan Adiyatma Rum
Keyword(s):  
Electronic Cigarettes ◽  
Economic Effects ◽  
Electronic Cigarette ◽  
Least Square ◽  
Cigarette Consumption ◽  
Ordinary Least Square ◽  
Independent Variables ◽  
Different Characteristics

Consumers of conventional cigarettes have begun to switch to using electronic cigarettes. Having different characteristics of these two kinds of cigarettes make the different health and economic effects to consumers. This study uses Ordinary Least Square (OLS) method to analyze the influence of electronic cigarette usage on conventional cigarette usage in Bandung in 2017. This study used 200 respondents of electronic cigarette users. This study uses the amount of conventional cigarette consumption after using electronic cigarette per day (Y) as the dependent variable. For independent variables, this study uses conventional cigarette consumption before using electronic cigarette per day (X1), total liquid of electronic cigarette consumption per month (X2), monthly electronic cigarette expenditure (X3), and respondent's perception whether using electronic cigarette more healthy (X4). Regression results showed that X1 and X4 have significant effect on Y. The increase of 1 stem of conventional ciga-rettes consumption before using electronic cigarette per day (X1) will increase the consumption of conventional cigarettes after using electronic cigarette per day (Y) of 0.1618005 stem. While with the respondent's perception that using electronic cigarette is healthier (X4) will reduce the consumption of conventional cigarettes (Y) as much as 5.169504 stems

scholarly journals Review of Health Consequences of Electronic Cigarettes and the Outbreak of Electronic Cigarette, or Vaping, Product Use-Associated Lung Injury

2020 ◽  
Vol 16 (3) ◽  
pp. 295-310 ◽  
Author(s):  
Dazhe James Cao ◽  
Kim Aldy ◽  
Stephanie Hsu ◽  
Molly McGetrick ◽  
Guido Verbeck ◽  
...  
Keyword(s):  
Lung Injury ◽  
Electronic Cigarettes ◽  
Electronic Cigarette ◽  
Health Consequences ◽  
Product Use

102 Wildfire Burns: Implications for Burn Care

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S67-S67
Author(s):  
Tina L Palmieri ◽  
Kathleen S Romanowski ◽  
Soman Sen ◽  
David G Greenhalgh
Keyword(s):  
Length Of Stay ◽  
Burn Injury ◽  
Total Body Surface Area ◽  
Ventilatory Support ◽  
Mass Casualty ◽  
Inhalation Injury ◽  
Burn Injuries ◽  
Injury Incidence ◽  
Burn Centers ◽  
Burn Care

Abstract Introduction Climate change, the encroachment of populations into wilderness, and carelessness have combined to increase the incidence of wildfire injuries. With the increased incidence has come an increase in the number of burn injuries. Prolonged extrication, delays in resuscitation, and the extreme fire and toxic air environment in a wildfire has the potential to cause more severe burn injury. The purpose of this study is to examine the demographics and outcomes of wildfire injuries and compare those outcomes to non-wildfire injuries. Methods Charts of patients admitted to a regional burn center during a massive wildfire in 2018 were reviewed for demographic, treatment, and outcome. We then obtained age, gender, and burn size matched controls from within 2 years of the incident, analyzed the same measures, and compared treatment and outcomes between the two groups. Results A total of 20 patients, 10 wildfire (WF) burns and 10 non-wildfire (NWF) burns, were included in the study. Age (59.6±7.8 WF vs. 59.4±7.4 years), total body surface area burn (TBSA) (14.9±4.7 WF vs. 17.2±0.9 NWF) and inhalation injury incidence (2 WF and 2 NWF) were similar between groups. Days on mechanical ventilation (24.3±19.4 WF vs. 9.4±9.8 NWF), length of stay (49.9±21.8 WF vs. 28.2±11.7 days) and ICU length of stay (43.0±25.6 WF vs 24.4±11.2 NWF) were higher in the WF group. WF patients required twice the number of operations. Mortality was similar in both groups (1 death/group). Conclusions Wildfire burn injuries, when compared to age, inhalation injury, and burn size matched controls, require more ventilatory support and have more operations. As a result, they have longer lengths of stay and have a prolonged ICU course. Burn centers should be prepared for the increased resource utilization that accompanies wildfire injuries. Applicability of Research to Practice All burn centers must be prepared for the possibility of wildfires and the increased resource utilzation that accompanies mass casualty events.

scholarly journals Genotoxic and Carcinogenic Potential of Compounds Associated with Electronic Cigarettes: A Systematic Review

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Isaac Armendáriz-Castillo ◽  
Santiago Guerrero ◽  
Antonella Vera-Guapi ◽  
Tiffany Cevallos-Vilatuña ◽  
Jennyfer M. García-Cárdenas ◽  
...  
Keyword(s):  
Chemical Composition ◽  
Human Health ◽  
Conflicts Of Interest ◽  
Electronic Cigarettes ◽  
Chemical Compounds ◽  
Electronic Cigarette ◽  
Eligibility Criteria ◽  
Carcinogenic Potential ◽  
Chemical Abstracts Service ◽  
First Time

Background. Many studies, comparing the health associated risks of electronic cigarettes with conventional cigarettes focus mainly on the common chemical compounds found between them. Aim. Review chemical compounds found exclusively in electronic cigarettes and describe their toxic effects, focusing on electronic-cigarette-only and dual electronic-cigarette and conventional cigarette users. Data Sources. Literature search was carried out using PubMed. Study Eligibility Criteria. Articles related exclusively to conventional and electronic cigarettes’ chemical composition. Articles which reported to be financed from tobacco or electronic cigarettes industries, not reporting source of funding, not related to the chemical composition of electronic and conventional cigarettes and not relevant to tobacco research were excluded. Methods and Results. Chemical compounds reported in the selected studies were tabulated using the Chemical Abstracts Service registry number for chemical substances information. A total of 50 chemical compounds were exclusively reported to be present in electronic cigarettes. Crucial health risks identified were: eye, skin, and respiratory tract irritation, with almost 50% of incidence, an increment of 10% in cytotoxic effects, when compared to compounds in common with conventional cigarettes and around 11% of compounds with unknown effects to human health. Limitations. Articles reporting conflicts of interest. Conclusions and Implications of Key Findings. Despite being considered as less harmful for human health, compounds found in electronic cigarettes are still a matter of research and their effects on health are yet unknown. The use of these devices is not recommended for first time users and it is considered hazardous for dual users.

scholarly journals Bibliometric Analysis of Electronic Cigarette Publications: 2003–2018

2019 ◽  
Vol 16 (3) ◽  
pp. 320 ◽  
Author(s):  
Michael Briganti ◽  
Cristine Delnevo ◽  
Leanne Brown ◽  
Shirin Hastings ◽  
Michael Steinberg
Keyword(s):  
Growth Rate ◽  
Bibliometric Analysis ◽  
Electronic Cigarettes ◽  
Electronic Cigarette ◽  
Annual Growth ◽  
Annual Growth Rate ◽  
Scientific Publications ◽  
Network Analyses ◽  
The Past ◽  
Nih Funding

Electronic cigarettes are at the center of a public health policy debate which leverages scientific publications. This study characterizes e-cigarette publication trends over the past 15 years via a bibliometric analysis. Scopus was searched for “electronic cigarette”, “e-cig”, “e-cigarette”, “vape”, “vaping”, “juul”, or “electronic nicotine delivery system” between 2003–2018. Data included Hirsch index, document type and frequency, and publications by institution, journal, and country. VOSviewer was used to visualize authorship network maps. A total of 4490 e-cigarette publications were identified, most (62.8%) being articles. After 2009, the annual growth rate for e-cigarette publications was the largest in 2014. The annual growth rate was nearly flat in 2017 but increased in 2018. The U.S. produced 51.6% of publications. Annual National Institutes of Health NIH funding for tobacco research mapped closely with the annual volume of e-cigarette publications. Author network analyses illustrated investigator collaborative patterns. The frequency of e-cigarette publications increased significantly in the past decade. A strong relationship of NIH funding for tobacco research and e-cigarette publications demonstrates the importance of e-cigarettes in tobacco research.

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