alexa Fate of mass burn casualties: implications for disaster planning.
Social & Political Sciences

Social & Political Sciences

Journal of Defense Management

Author(s): Mackie DP, Koning HM, Mackie DP, Koning HM

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Abstract A survey of 11 fire disasters which have occurred since 1970, showed that incidents occurring outdoors resulted in larger numbers of hospital admissions, with more severe injuries, than incidents occurring indoors. While the majority of burn casualties sustained burns covering less than 30 per cent body surface area (BSA), outdoor disasters resulted in the admission of a significant number of patients with burns covering more than 70 per cent BSA. Expert triage may therefore minimize the requirement for specialized burn beds. However, the scarcity of burn facilities is such that involvement of distant centres may be anticipated following large disasters. While effective early management extends the time available for the dispersal of casualties, delays may be avoided by prior planning, especially if the international transfer of patients is envisaged.
This article was published in Burns and referenced in Journal of Defense Management

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