Abstract

In January, 2009, an 18-year-old man presented to the emergency department after suffering an attack with an incendiary shell. He had many painful patches of full-thickness burns, which were surrounded by sloughed tissue. His wounds covered 30% of his body surface area, and were distributed on both upper and lower limbs, and his right shoulder. There were no signs of inhalation burns. After a clinical diagnosis of white phosphorus burns was made, the airway was secured, resuscitation fluid was initiated, and wounds were irrigated with diluted sodium bicarbonate solution before wet dressing.

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