Occupational Asthma Reference

O'HICKEY SP, PICKERING CAC, JONE PE, Manchester air disaster, Br Med J, 1987;287:1663-1667,

Keywords: RADS, Irritant asthma, UK, smoke, FEV1,

Known Authors

Tony Pickering, Wythenshawe Hospital, Manchester, UK Tony Pickering

Steve O'Hickey, Worcester Hospital Steve O'Hickey

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Abstract

On 22 August 1985 a fire occurred on a Boeing 737 jet airliner at take off at Manchester Airport. One hundred and thirty seven passengers and crew were on board. Fiftytwo passengers died on the aircraft, 85 escaped. Most survivors had minor physical injuries, but 15 required admission to hospital because ofsmoke inhalation and two of these had severe burns. At presentation only one survivor required ventilation but within 12 hours a further five required ventilation. Although initially patients suffering from smoke inhalation may seem relatively well, lung function may deteriorate rapidly in the first 24 hours. Careful organisation andregularpractice ofprocedures to deal with a major accident are essential to be able to respond adequately to such an event.

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