Explosion Injuries from E-Cigarettes
Electronic nicotine-delivery systems (ENDS) include electronic cigarettes (e-cigarettes) and personal vaporizers. The prevalence of ENDS use is increasing among current, former, and never smokers. E-cigarettes share a basic design; common components include an aerosol generator, a flow sensor, a battery, and a solution storage area.1 Many users do not understand the risk of “thermal runaway,” whereby internal battery overheating causes a battery fire or explosion. At our center, from October 2015 through June 2016, we treated 15 patients with injuries from e-cigarette explosions due to the lithium-ion battery component. Such explosions were initially thought to be rare, but there have been reports, primarily in the media, of 25 separate incidents of e-cigarette explosions from 2009 through 2014 across the United States.2 More recently, there have been case reports in the medical literature....