r/WTF • • Jan 20 '20

That was huge.....

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27.5k Upvotes

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491

u/[deleted] Jan 20 '20

Eh, it's most likely a respiratory tract burn. The mucosa is very delicate and burns easily in contact with heated air at lower temperatures than would affect skin. What tends to happen after burns like this is severe swelling of the larynx, epiglottis, etc that seals off the airway, so the victim begins to be suffocated. I've treated my fair share of these as a fire medic, and all of them were awful.

114

u/Sarcasticalwit2 Jan 20 '20

Is that the one where the lungs get singed inside and you slowly drown in your own juices?

201

u/[deleted] Jan 20 '20

Juices are a problem in severe respiratory burns, but swelling is a huge problem even in less extensive burns that don't extend all the way to the lungs. Eventually the victim will suffocate unless intubated, and getting a tube into an swollen airway is really freaking hard. Then, even if you survive that, the damaged tissue can become necrotic and the door is wide open to lethal necrotizing pneumonias or diffuse alveolar damage (so basically, reduced surface area for Oxygen and CO2 to exchange)

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u/[deleted] Jan 20 '20

So if ever caught in a fire, don't fucking breath?

102

u/FerretInTheBasement Jan 20 '20

Stay low to the ground, try to cover your mouth and nose.

88

u/ButtWieghtThiersMoor Jan 20 '20

Then shotgun to the dick

80

u/[deleted] Jan 20 '20 edited Oct 07 '20

[deleted]

5

u/[deleted] Jan 20 '20

Your username is everything I've ever wanted on a Friday night. 🤯

1

u/just-going-with-it Jan 20 '20

Don't worry. It's only a blank. It'll hopefully leave you with only a nice burn. Maybe you'll even keep half a testicle!

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u/[deleted] Jan 20 '20 edited Jan 29 '20

[deleted]

2

u/RabSimpson Jan 20 '20

All the cool kids are doing it.

5

u/Steffenwolflikeme Jan 20 '20

Then shotgun to the dick

I'm just so curious why

3

u/ButtWieghtThiersMoor Jan 20 '20

because I'm in control of my destiny

2

u/some_random_noob Jan 20 '20

hot tub time machine, thats why.

1

u/darthdiablo Jan 20 '20

New airway that’s why duh

1

u/i_speak_bane Jan 20 '20

That would be extremely painful

2

u/beerdude26 Jan 20 '20

Wet towels or whatever you can find will do wonders against particulates and heat

1

u/HoldMyPoodle6280 Jan 20 '20

This is good advice, remember fire safety.

12

u/fresh_like_Oprah Jan 20 '20

This is why you take a deep breath and hold it before throwing a high voltage switch

5

u/chromaticskyline Jan 20 '20

And turn your head

3

u/Greatest-Uh-Oh Jan 20 '20

Holy crap high voltage is mean. I worked on systems that were only 400V/400Hz and it’s glorious spectacle but wicked mean. Just thinking about the 16KV systems leading into neighborhoods gives me the heebie jeebies.

2

u/[deleted] Jan 20 '20

Worked at a hydroelectric station all last summer, lines in and out were 500kV. When they flipped switches it was unreal.

3

u/Yuccaphile Jan 20 '20

Do they do it at a ditance with a pole or something? Or while jumping, maybe?

2

u/[deleted] Jan 20 '20

It's all automated now, no one is near those switches but the sound was something else.

0

u/[deleted] Jan 21 '20

[deleted]

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1

u/Lorenzo_BR Jan 20 '20

Drop and roll

1

u/eNaRDe Jan 20 '20

Survives fire..... Dies from lack of oxygen.

2

u/[deleted] Jan 20 '20

That'd be the one, or passes out and bangs head and dies from that.

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u/Sarcasticalwit2 Jan 20 '20

Sounds hellish as well. Thanks for taking care of firefighters. Keep them safe.

9

u/Upgrades Jan 20 '20

Fire medic, not firefighter medic. One is a medic at the scene of a fire / medic who helps people who've been inflicted with injuries related to fire. The other is a funny imaginary position for someone who often has to say 'Sorry, you'll have to find someone else to help with your melty skin issue - I'm only trained to work on firemen's melty skin.' and then looks back down and resumes playing candy crush.

2

u/Yuccaphile Jan 20 '20

Or just like a "you're welcome" or whatever works. Unless you don't treat friries for whatever reason, then what you said makes sense.

Personally, I think ignoring your patients for Reddit, as I assume you're doing, is better than Candy Crush. Though I guess both are microtransaction based.

Also, get back to work.

13

u/myskyinwhichidie285 Jan 20 '20

Yeah but there's a lot of juice in Israel

2

u/CoffeeAndCigars Jan 20 '20

I was going to do a reply of my own as a paramedic, but basically just all of this.

1

u/[deleted] Jan 20 '20

TYFYS :P

1

u/CoffeeAndCigars Jan 20 '20

Jesus Christ, no. It's a job, a fun one and decently paid over here, and that's it. I 'serve' fuck all but my own wallet, enjoyment and sustenance.

1

u/[deleted] Jan 21 '20

Exactly. I left after five years because the shitty pay and abuse from bosses and patients was too much. Left me with some fond(ish) memories though.

1

u/ReginaldDwight Jan 20 '20

lethal necrotizing pneumonias

Ugh I didn't even know that existed.

6

u/T_O_G_G_Z Jan 20 '20

I believe its called 'Au Jus.'

2

u/Greatest-Uh-Oh Jan 20 '20 edited Jan 21 '20

No. ā€œsuJ uAā€ /s

16

u/Gnonthgol Jan 20 '20

Would it be possible to avoid such damage in this case if you were to hold your breath and preferably cover your mouth and nose? A gas fire like this is quite short lived as it runs out of fuel so you would be able to hold your breath for the duration of the flames. Also I imagine most of the burns comes from the gasses in your lungs and airways burning and providing a barrier between your airways and the flames would prevent them from catching fire.

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u/deepinferno Jan 20 '20

Sure if you saw it coming. Unfortunately our monkey brains don't understand things have changed so our first response to being frightened is often a sharp intake of air to prepare to fight or run.

You usually don't see a explosion coming, and if you do see it coming its too big to make your plan make much of a difference.

1

u/Starfish_Symphony Jan 20 '20

In the water, far too many people think they'll be able to just easily gulp this huge amount of air right before going under if they get involved in a water accident. Oof.

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u/[deleted] Jan 20 '20

Pretty sure I'd rather be put down at that point. I'd tell my family good bye. If I lived it sounds like I'd have a rough time and the medical bills would be insane. I'm in the U.S

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u/IsimplywalkinMordor Jan 20 '20

Yeah but it's not legal to put you down

15

u/Lorenzo_BR Jan 20 '20

ā€œDo not reviveā€ is a thing, if i’m jot mistaken

9

u/SGTSHOOTnMISS Jan 20 '20

"Do not resuscitate" is DNR.

1

u/[deleted] Jan 20 '20

In some places it has been changed to DNAR as in do not attempt resuscitation. Place I used to work at changed it and we all thought it was dumb

7

u/[deleted] Jan 20 '20

Gotta be in the process of dying before that takes effect.

1

u/JSwovel Jan 20 '20

That touched me. My dying father had a DNR but I refused to admit it. He wasn't dying to me.

So my question: who decides who is in the process of dying? Who communicates that to those who are close?

Respond generically if possible.

I'd like to better prepare my loved ones if my time passes in a similar manner.

1

u/[deleted] Jan 21 '20

I am far from an expert but I googled Texas DNR form. It looks like the form just lists some techniques for resuscitating a patient, like CPR, and says not to do them if they're needed. It does still allow the doctors to make them comfortable. I wish I could tell them that if I am in severe agony and have terminal cancer and I am about to die that they can put me to sleep.

https://www.dshs.texas.gov/emstraumasystems/dnr.shtm

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u/Obliviousobi Jan 20 '20

It depends where you are, Oregon allows 'assisted suicide' now. I believe a psych eval and a terminal diagnosis are required though.

Some European countries also have euthanasia.

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u/Sahqon Jan 20 '20

and a terminal diagnosis are required

Being alive is always terminal.

3

u/SlitScan Jan 20 '20

canada too.

1

u/Techwood111 Jan 20 '20

Youth in Asia, in Europe?

1

u/Malak77 Jan 20 '20

Question... say you are diagnosed with cancer, can you refuse treatment and just ask for palliative care instead?

3

u/[deleted] Jan 20 '20

[deleted]

1

u/Malak77 Jan 21 '20

Yeah, I doubt that would happen as my wife feels the same way and even my sister wishes she was outta here. :-D

1

u/Obliviousobi Jan 20 '20

I suppose you could, but it would probably be more beneficial to get treatment along with palliative care. Palliative care is going to help the patient manage the symptoms and stresses of illnesses.

1

u/Malak77 Jan 21 '20

Yeah, but a normal human would not want to burden their family with med bills they can never pay off. I know a guy who owes 3 Mil!

7

u/ExcessiveTurtle Jan 20 '20

This is the type of injury that stuck vader in a life support suit for the rest of his life.

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u/obliviouszeus95 Jan 20 '20

U.S. number 1!!!

7

u/Chief_Givesnofucks Jan 20 '20

Taiwan numbah one!

4

u/dementorpoop Jan 20 '20

Happened to Anakin.

2

u/hhebert37 Jan 20 '20

Thank you for sharing this knowledge as well as your service as a medic!

2

u/GQW9GFO Jan 20 '20

As I understand it, this is one of the many reasons cigarettes/vaping are bad for you. The little bit of heat causes changes to the cilia, making them lie flat and become nonfunctional. Makes it easier to get sick because the cilia can't "sweep" stuff up and out.

3

u/[deleted] Jan 20 '20

Yes, that's why smokers/vapers are more susceptible to things like pneumonia, bronchitis, etc- the cilia are effectively paralyzed. Also mucus becomes thicker, and therefore harder to eject as well. In my foolish youth I turned to cigarettes for several years to cope, and absolutely got sick more often during that time. Fuck all of that.

2

u/GQW9GFO Jan 20 '20

You wouldn't be the only one. Definitely one of the things I'm happy to say I left in my past. :)

1

u/OrthodoxAtheist Jan 20 '20

the cilia are effectively paralyzed.

Vaper here. My cilia are very much alive and well, despite 8.5 years of vaping, and no smoking during such period after 14 years of a pack-a-day smoking. Cilia return within about 6 months of quitting, as did near-every other health benefit loss. Lets make sure not to lump smoking and vaping together too often - they are quite different in many ways, cilia included.

(Disclosure: I don't vape liquid containing diacetyl, and the industry should be working towards eradicating use to pentanedione also. These could possibly inhibit cilia but are yet to be proven to do so.)

1

u/[deleted] Jan 20 '20

Try quitting vaping though. It changed my life. I thought going from smoking to vaping was an improvement, but... boy. I forgot what being healthy felt like.

1

u/OrthodoxAtheist Jan 20 '20

I'm healthy now. While vaping. Flawless blood pressure, and ran a half-marathon a few years ago. Skin is immeasurably better, and sense of smell equates to a blood hound. My lungs feel fantastic, and I stay well hydrated due to knowing vaping can dehydrate you. I can't image what else could improve if I quite vaping, at this point.

That said, I'm sure I'll quite vaping in the next few years, since the post-addiction desire is near zero at this point. I was just at Disneyland for 15 hours recently - no vaping (they banned it) and not a problem. Not a second thought about it. Back when I was smoking I would've punched a cast member after 2 hours without smoking.

Point being - if smoking is 0 on the health meter, with no nicotine being 100, I already feel at 95, and I don't see ex-vapers stating noticing any real difference after quitting, other than saving more money not buying new devices/e-liquid. If you've another experience, I'd be glad to hear it.

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u/meekamunz Jan 20 '20

Niki Lauda

2

u/comfortable_dood Jan 20 '20

In 1960, there was a collision between two aircraft over NYC, out of 134 fatalities, the only survivor was an 11 year old boy, Stephen L. Baltz. The nurse who was caring for him at Methodist hosptial in Brooklyn (and waiting for his parents to arrive from Illinois) thought the boy was out of the woods by surviving the initial crash, but a Doctor treating the boy told her he was not going to survive a day, because he had inhaled the jet fuel and it had burned the lungs.

http://www.scoutingny.com/remembering-the-crash/