Aside from having a high energy density, lithium cells also have an extremely low internal resistance so they can supply lots of amps for a short period. They have an extremely low rate of self discharge, and I've only seen two go up in smoke. In both cases they were the switching MOSFETS rather than the cells themselves.
The problem with these units is they don't have any current limiting outside of the inherent resistance in the semis, the cables and battery clips. So if you really do have a duff battery and the stars align you can certainly let the smoke out. Admittedly it's hard to build a reliable current limiter for a couple of hundred amps that'll work more than once.
That said, if I was heading into the middle of nowhere, I'd have 2 of these in the box right next to the water bottle and EPIRB.

