Why are the death toll from the fires increasing?

Why do we still hear "more casualties"?

After the great fire a few days or even weeks later,

For Major Burn

Surviving events is just the beginning of the battle.

Because after the blackout... the war that took place inside the body had just begun.

...

The First Hour: Fighting "Breathing"

In that event, we inhale heat and smoke.

Imagine a blister. Birth on our trachea.

The heat causes the trachea and respiratory tract to swell and swell.

This is why many times doctors need to intubate since the patient is still breathing well.

Because if you wait until the trachea is fully swollen, even intubation may not be possible.

...

The first 24-48 hours: The body is like a "leaky bucket of water."

Many people have been scalded.

This is the water that leaks.

If a wound like that happens almost the whole body,

Water and protein will leak in large quantities, maybe several liters a day.

It's not over yet...

The body will respond to burns.

With the release of enormous amounts of inflammatory substances.

These substances make

Blood vessels throughout the body "leak."

Imagine

The heart is pumping water through the hose.

To feed the brain, heart, kidneys and vital organs.

But that hose

Instead, they were punched everywhere.

No matter how much water you add,

The water flows out along the hole all the time.

Water that should be in the bloodstream.

Instead, leaking out to the tissue.

Puffy limbs, swollen skin.

And the most dangerous...

Water leaked into the lungs until there was a "lung flood."

The doctor must calculate the administration of the water substance thoroughly.

Too little... pressure drop, organ ischemia.

Give too much... lung flooding.

Can't breathe, even with a ventilator.

Finally.

Lungs, kidneys, heart and liver.

May gradually fail.

...

After the First Week: The Invisible Enemy

If it gets through the early crisis...

The hardest fight is infection.

Burns. There will be a lot of dead meat.

Which can easily be infected.

But not just the wound.

Many patients

Requires a ventilator.

Urine catheter must be inserted.

The brine must be inserted into the vein of the neck.

And had to sleep in ICU for a long time.

These all increase the risk of infection.

And most worrying...

The infections found in ICU are usually drug-resistant.

When the infection enters the bloodstream,

The body will develop severe sepsis.

The pressure began to fall.

Kidney stopped working.

The heart works harder.

Lung failure.

Multi-system organs

Gradually, stop working one by one.

Every day of treatment.

So it's like walking on a yarn.

...

When we see the news,

"More casualties," the Daily.

It's because of the patient's body.

Is grappling with the chain effect.

Since the respiratory injury.

Huge loss of water.

Inflammation throughout the body.

Infection

To multiple organ failure.

For severe fire patients

Escaping the fire could be just the first step.

But the struggle to survive continues for weeks.

...

For some, healing does not end when the wound heals.

But also face rehab.

Scars.

And wounds in the mind.

That could be with you for a long time.

Encourages all wounded, their families, including all medical teams, nurses and staff who are working at full strength.

May everyone go through this difficult time together.