Response of a local hospital to a burn disaster: Contributory factors leading to zero mortality outcomes

Burns : Journal of the International Society for Burn Injuries
Eng-Kean YeongHong-Shiee Lai

Abstract

To investigate the outcomes of a local healthcare system in managing a burn mass casualty incident (BMCI). Thirty-three victims admitted to the National Taiwan University Hospital within 96h of the explosion were included in the study. Data were recorded on: patient demographics, Baux score, laboratory data, management response, treatment strategies, and outcomes. Case notes from June 27, 2015 to November 2015 were reviewed with a focus on fluid resuscitation, ventilation support, nutrition, infection control, sepsis treatment, and wound closure plan. Female predominance (mean age: 21.7 years) and lower extremity circumferential flame burns were the characteristics of the burn injury. The mean Baux score was 70±18. The mean burn area was 42% of the total body surface area (TBSA). A total of 79% patients arrived at the hospital within 24h of sustaining injuries. Intensive care unit (ICU) admission criteria were modified to accommodate patients with 40% TBSA of burns, facilities were expanded from 4 ICU beds to 18 beds, and new staff was recruited. A total of 36% patients (n=12/33, 62±13 TBSA of burns) required fluid resuscitation. The mean volume of Lactate Ringer administered in the first 24h of burns was 3.34±2.18ml/kg/%TBSA, ...Continue Reading

Citations

Jan 31, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Eng-Kean YeongShan-Chwen Chang
Jun 15, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Eng-Kean Yeong, Wei-Lieh Huang
Jun 6, 2020·Burns : Journal of the International Society for Burn Injuries·Hsu MaChi-Hung Lin
Jun 3, 2021·Computer Methods and Programs in Biomedicine·Hui Yan HoWei-Fong Kao

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