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This teenage weapon exploded and crushed his jaw

What he told doctors shocked them: The boy was armed when he shattered his e-cigarette in the face without warning. The crash, described in a case study published Wednesday, is just one of thousands in recent years.

"People need to know before they buy these devices that there is a possibility that they will burst in their pocket, on your face," says Doctor Katie Russell, Director of Health for Trauma at the Primary Hospital who treated the boy for the first time.

It is unclear what type of e-cigarette was involved in the event.

A study published in 2018 estimated that more than 2,000 e-cigarette explosions and burns donated users to US hospitals emergency departments from 201
5 to 2017. However, few are aware of how serious the incidents may be.

The teenager from Nevada said he had no idea that his weapon could explode, according to Russell. He repeated the line again and again in the emergency room, she recalls, and he was still "quite freaked out" hours after the explosion.

"Then I'd never seen this in my career. Heard of this as an opportunity," said Russell, who described the boy's injuries in the New England Journal of Medicine.

"I just wanted to get this out so others could know it was possible," she added.

The boy Russell treated was "a tough child," she said, and he healed well. But others have been less happy.

  The boy healed well after six weeks and two surgeries, although he still hasn't got implants for his missing teeth.
In February, a Texas man died after his e-cigarette exploded and shrapnel tore through his carotid artery. Part of the unit was left in the human neck at the hospital, according to his family.
A year ago, a Florida man was found dead after his e-cigarette exploded during use and sent a projectile to his head. Both cases involved "mechanical mods", larger vaporizers that have more powerful batteries than many typical devices.
  A man dies when his e-cigarette explodes in his face

Both deaths were in adults, But many teenagers have reported burns from similar e-cigarette explosions. The injuries have been assembled as experts warn of an "epidemic" of juvenile gunfire, with nearly 40% of the 12-degree used units, according to a report released last year.
A teenager in Oregon almost lost his eye when his weapon exploded two years ago, according to CNN affiliate KYTV. Another 17-year-old told CNN affiliate KNXV in 2016 that "it was like the bomb went off" before her clothes were on fire and an e-cigarette explosion left her with burns over her breasts, arms and hands. [19659013] In one case from 2017, a 14-year-old girl was burned when an e-cigarette exploded in a nearby college student pocket while on a Harry Potter trip at Universal Studios. A year earlier, another 14-year-old was blinded after an e-cigarette exploded in a Brooklyn mall, according to CNN affiliate WPIX.

"Bladder injuries and skin grafts"

While experts and legal groups have long questions about the health effects of weapons, the risk of explosions and fires has received less attention. However, some researchers have alarmed.
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In a 2016 letter published in the New England Journal of Medicine, doctors at the University of The Washington Medical Center described 15 patients who had suffered from e-cigarette explosions in less than a year.

Most accidents involved flame burns and nearly 30% of patients survived "burst damage" that led to "tooth loss, traumatic tattoo and extensive loss of soft tissue." Flame burns required wound care and skin grafts, the doctors wrote.

They added that "the e-cigarettes remain largely unregulated" and warned that even though "these incidents were previously considered isolated events, the damages among our 15 patients add to the evidence that e-cigarettes are a public safety concern requiring increased regulation and design changes to improve security. "

FDA" concerned "but not mandate for e-cig recalls

] Industry groups are still cautious about regulation and argue instead of manufacturers needs the freedom to easily make changes to and improve their products. "We need to make sure we're not going out of business," says Ray Story, founder of the Tobacco Damp Electronic Cigarette Association.

  Ruling Shows Pressure For The FDA To Strictly Regulate E-Cigarettes [19659029] Ruling Gives Pressure For The FDA To Strictly Regulate E-Cigarettes

"Industry Can Always do more, "said Story, but he blamed consumers for some accidents. While the batteries could explode, he said: "Much happens because of the consumer's failure to actually charge the batteries properly."

Last year R.J. The Reynolds Damp Company initiated a voluntary recall of 2.6 million power risk units, but the FDA – which is authorized to transmit e-cigarettes – has not provided any e-cigarette recalls in response to the latest explosions.

The agency said in a statement that it was "concerned" about "overheating and exploding batteries". It was recommended that consumers consider "using devices with security features, preventing loose batteries from coming into contact with metal objects, with the proper charger and not charging the battery overnight or [leaving] it is being charged unattended."

The FDA also launched a Website titled "Tips to help avoid" Vape Explosions, "but Russell, who treated the Nevada teenager, believes many users are not even aware that e-cigarettes can explode – which means that they do not search for resources on battery safety.

"A cigarette pack says this can kill you," Russell said. While e-cigarettes warn that nicotine is addictive, they seem to offer some information about the battery risk, she said.

The safest option, according to Russell, may be to avoid arming altogether. "In fact, the mother also used one of these devices," she said. "After that they all stopped."

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