Många skadade och döda i explosionsartad brand, Crans-Montana, Schweiz (2026-01-01)

1:laryngeal, trachea or bronchial edema. The swelling from high temperature/chemical irritation cause the air ways to close. If this is far enough into the lungs ie terminal bronchioles then it doesn't matter if the patient is intubated/trached or not

2: toxin exposure. Lots of stuff burns putting off some pretty nasty stuff. This can cause acid base disturbances, or causing brain damage

3: death of pneumocystis/loss of surfactant. alters air sac structure and limits their ability to expand. Also can cause fluid to be able to sleep into the lungs. Then you drown in your own blood

4: Fibroblast proliferation. in an attempt to heal itself the body produces proteins and cells that don't stretch like the lungs are meant to. So these people eventually suffocate because their lungs are basically wrapped thick ropes

5: dehydration. Skin burn seep an incredible amount of fluid

6: infection. Burns destroy your natural barriers