Local Health Expert Warns of Dangers from Smoke Inhalation

As thousands of acres burn and smoke travels through strong gusts of wind, experts at Redlands Community Hospital in San Bernardino County, California warn of the risks associated with smoke inhalation. It estimated that 50 to 80 percent of fire deaths in the United States are the result of smoke inhalation injuries rather than burns. Fire produces a complex toxic environment involving flame, heat, oxygen depletion, smoke and gases. Those who are highest risk from smoke inhalation are infants, children and the elderly, especially those with heart and lung problems. “The best way to protect yourself is to stay indoors if you smell smoke,” says James Dexter M.D., a pulmonologist at Redlands Community Hospital. Dr. Dexter recommendations to avoid harmful exposure to smoke: • People living in close proximity to the fire-stricken areas should remain indoors and avoid inhalation of smoke, ashes, and particulate matter in the area. Ordinary dust masks, designed to filter out large particles, will not help as they still allow the more dangerous smaller particles to pass through. • If you live close to or in the surrounding area, it's recommended that you refrain from exercising outdoors, especially if you smell smoke or notice eye or throat irritation. • Extra precaution should be taken for children, who are more susceptible to smoke because their respiratory systems are still developing and they breathe in more air. • When driving your car in smoky areas, keep your windows and vents closed. Air conditioning should only be operated in the "recirculate" setting. For the elderly and those with respiratory problems and chronic heart disease should: • Stay indoors as much as possible, with doors, windows and fireplace dampers shut and preferably with clean air circulating through air conditioners and/or air cleaners. Use air conditioners on the recirculation setting so outside air will not be moved into the room. • Due to the higher levels of pollutants in some areas, there is a possibility of experiencing increased symptoms. If you are experiencing symptoms, please try to contact your physician. • If outdoor trips in smoky areas are necessary, breathe through a damp cloth to help filter out particles in the air. • People with asthma should check with their physician regarding any changes in medication that may be needed to cope with the smoky conditions. • If pulmonary symptoms are not relieved by the usual medicines, seek medical attention. Symptoms to watch for: wheezing, shortness of breath, difficulty taking a full breath, chest heaviness, light headedness, dizziness and confusion. If you have any concerns or questions please contact your physician. • If you develop a persistent cough, or difficult or painful breathing, call your physician. The onset of symptoms can appear as late as 24 to 48 hours after exposure and that smoke can remain in areas for many days after the fires have ended. Seek medical attention immediately if you experience: • Difficulty breathing • Hoarse voice • Prolonged coughing spells • Mental confusion