Mass casualty incidents with multiple burn victims: Rationale for a Swiss burn plan

被引:29
作者
Potin, Mathieu [1 ,2 ]
Senechaud, Christophe [3 ]
Carsin, Herve [4 ]
Fauville, Jean-Philippe [5 ]
Fortin, Jean-Luc [6 ]
Kuenzi, Walter [7 ]
Lupi, Gianpiero [8 ]
Raffoul, Wassim [9 ,10 ]
Schiestl, Clemens [11 ]
Zuercher, Mathias [12 ]
Yersin, Bertrand [2 ]
Berger, Mette M. [9 ,13 ]
机构
[1] State Vaud, Publ Hlth Serv, Lausanne, Switzerland
[2] Univ Hosp Ctr CHUV, Emergency Serv, Lausanne, Switzerland
[3] Reg Hosp, Emergency Serv, La Chaux De Fonds, France
[4] Percy Mil Instruct Hosp, Burn Treatment Ctr, Clamart, France
[5] IMTR Hosp, Burn Treatment Ctr, Loverval, Belgium
[6] Jean Minjoz Univ Hosp, Besancon, France
[7] Univ Zurich Hosp, Adult Burn Ctr, Dept Plast & Reconstruct Surg, CH-8091 Zurich, Switzerland
[8] Swiss Armed Forces, Coordinated Med Serv, Ittigen, Switzerland
[9] Univ Hosp Ctr CHUV, Burn Ctr, Lausanne, Switzerland
[10] Univ Hosp Ctr CHUV, Plast & Reconstruct Surg Serv, Lausanne, Switzerland
[11] Univ Childrens Hosp, Pediat Burn Ctr, Zurich, Switzerland
[12] Univ Basel Hosp, Dept Anesthesia & Intens Care Med, CH-4031 Basel, Switzerland
[13] Univ Hosp Ctr CHUV, Adult Intens Care Serv, Lausanne, Switzerland
关键词
Mass burn casualties; Burn disasters; Major burn incidents; Burn teams; Burn care; Surge capacity; Triage Disaster preparedness; Mass casualty incident; Burn center; ACCELERATED DELPHI TECHNIQUE; DISASTER; FIRE; TRAGEDY; EVENTS;
D O I
10.1016/j.burns.2009.12.003
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Introduction: Mass casualty incidents involving victims with severe burns pose difficult and unique problems for both rescue teams and hospitals. This paper presents an analysis of the published reports with the aim of proposing a rational model for burn rescue and hospital referral for Switzerland. Methods: Literature review including systematic searches of PubMed/Medline, reference textbooks and journals as well as landmark articles. Results: Since hospitals have limited surge capacities in the event of burn disasters, a special approach to both prehospital and hospital management of these victims is required. Specialized rescue and care can be adequately met and at all levels of needs by deploying mobile burn teams to the scene. These burn teams can bring needed skills and enhance the efficiency of the classical disaster response teams. Burn teams assist with both primary and secondary triage, contribute to initial patient management and offer advice to non-specialized designated hospitals that provide acute care for burn patients with Total Burn Surface Area (TBSA) <20-30%. The main components required for successful deployments of mobile burn teams include socio-economic feasibility, streamlined logistical implementation as well as partnership coordination with other agencies including subsidiary military resources. Conclusions: Disaster preparedness plans involving burn specialists dispatched from a referral burn center can upgrade and significantly improve prehospital rescue outcome, initial resuscitation care and help prevent an overload to hospital surge capacities in case of multiple burn victims. This is the rationale behind the ongoing development and implementation of the Swiss burn plan. (C) 2009 Elsevier Ltd and ISBI. All rights reserved.
引用
收藏
页码:741 / 750
页数:10
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