Healthcare

Fire Crans-Montana, 14 Italian injured: damage and burns treatment

Explaining this to Adnkronos Salute is Giuseppe Spaltro, acting director of the Centro Grandi Ustionati at the Sant'Eugenio hospital in Rome, one of around 15 specialised centres in Italy.

23/02/09 Inagurazione nuovo reparto u.o.c. alta specialita' centro grandi ustionati e chirurgia plastica ricostruttiva area di degenza dell' ospedale Sant'Eugenio di Roma

2' min read

Translated by AI
Versione italiana

2' min read

Translated by AI
Versione italiana

The recovery time for the young people injured in the fire at the 'Le Constellation' club in Crans-Montana will be very long. This was explained to Adnkronos Salute by Giuseppe Spaltro, acting director of the Centro Grandi Ustionati at the Sant'Eugenio hospital in Rome, one of about 15 specialised centres in Italy.

"I don't know the patients' medical records in detail," Spaltro clarifies, "but with severe burns the course of treatment is complex and prolonged. Numerous treatments, dressings and surgeries are necessary, especially to prevent the risk of infection, which is one of the main threats at this stage'.

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The severity of the consequences depends on several factors: 'The extent and depth of the burn counts, but also the area of the body involved,' emphasises the specialist. "Face and neck burns are particularly delicate because they can affect the airways, making the prognosis more severe than for localised burns on, for example, the arms or back".

Some of the injured reported hair loss.

In these cases, Spaltro points out, we are probably dealing with third-degree burns: "When the damage destroys the hair bulb, the vital part of the hair, regrowth is not possible" and baldness becomes permanent. 'In the initial phase,' Spaltro concludes, 'it is essential to focus on resuscitation, infusion therapy and supportive care, particularly nutritional and antibiotic, to reduce the risk of infection and stabilise the patient. Certainly the young age is a factor in favour of the injured'.

niguarda eleven patients from Crans-Montana, three in critical condition

There are currently eleven patients in the Niguarda Hospital in Milan who have survived the massacre in Crans-Montana. Almost all of the injured, the hospital announced in this morning's medical bulletin, are 15-16 years old, with the exception of a 29-year-old woman and a 55-year-old woman. Six patients are admitted to intensive care and are considered to be in particularly serious condition: they need more care for infection control, which is typical in a setting of severe burns, for support of organ functioning and from a metabolic point of view. Three of these six are considered to be in particularly critical condition.

The extent of the burns of the hospitalised patients (grade II and III) varies from 10 % to more than 50 %, and involves limbs, back and face, and for several of them there is significant lung damage caused by inhalation, requiring mechanical assistance for breathing. All patients are sedated and in a reserved prognosis, and it is premature to consider them out of danger. The clinical and intensive care pathways each of them is facing are long and complex, Niguarda points out, and will take at least several weeks,

Three of the 14 Italians injured in the New Year's Eve fire at the Constellation in Crans-Montana are still in hospital in Zurich, Switzerland. The medical team, civil protection team and psychologists are working to assess the conditions of transportability and therefore the possibility of return to Italy.

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