Patient selection: exposure to steam, especially in an enclosed space
Early findings:
(1) shock
(2) facial burns, especially around the mouth
(3) sudden onset of hoarseness or stridor
(4) pulmonary atelectasis on chest X-ray
(5) pulmonary edema
(6) pulmonary hypertension
(7) bronchoscopic evidence of injury to oropharynx, larynx, trachea and bronchi
(8) pansinusitis
(9) hemolysis
Complications that may develop over the next several days:
(1) hyaline membrane disease and ARDS
(2) respiratory failure
(2) bronchopneumonia
(3) necrotizing tracheobronchitis
(4) desquamative interstitial pneumonia
