Burn Mass Casualty and Disaster

Main Article Content

Booker King Wylac C. Peterson Joanna R. Crossett

Abstract

Background – The coordination of response to burn mass casualty incidents and disasters is complex and require coordination of medical resources and personnel. Casualties may have sustained thermal injury and/ or inhalation injury such as from a structural fire in an industrial complex or suffer combined thermal and poly-traumatic injury from an explosive device in an act of terrorism. These events require highly trained medical personnel for the initial response and for continued care in local medical facilities.


 


Summary – We re-visit the fire in Cocoanut Grove night club in 1942. This incident led to the development of an organized response to a burn mass casualty incident. This also led to the refinement of burn care. Next, we re-examine the response to the terrorist attacks of September 11, 2001. Many lessons learned from the response of an incident of this magnitude. The response to a mass casualty incident in which a significant proportion of patients have thermal injuries is reviewed and triage, transport to local medical facilities and transport to regional burn center phases are reviewed in detail. Finally, the role of the National Disaster Management System (NDMS), the Department of Defense (DOD), local/ state emergency response systems and the American Burn Association (ABA) are discussed.


 


Conclusion – The response to burn disasters and mass casualty incidents is thoroughly reviewed in the manuscript.

Article Details

How to Cite
KING, Booker; PETERSON, Wylac C.; CROSSETT, Joanna R.. Burn Mass Casualty and Disaster. Medical Research Archives, [S.l.], v. 6, n. 9, sep. 2018. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/1814>. Date accessed: 13 nov. 2024. doi: https://doi.org/10.18103/mra.v6i9.1814.
Section
Review Articles

References

1. Stewart CL. The fire at Cocoanut Grove. Journal of Burn Care & Research. 2015;36(1):232-235.
2. Saffle JR. The 1942 fire at Boston’s Cocoanut Grove Nightclub. Am J Surg.1993; 166:581-591.
3. Wang D, Sava J, Sample G, and Jordan M. The pentagon and 9/11. Critical Care Med. 2005; 33(1):S42-S47.
4. Jordan MH, Hollowed KA, Turner DG, Wang DS, Jeng JC. The pentagon attack of September 11, 2001: a burn center’s experience. J Burn care Rehabil. 2005; 26(2):109-116.
5. Simon R, Teperman S. The World Trade Center attack: lessons for disaster management. Critical Care. 2001; 5(6):318-320.
6. Yurt RW, Bessey PQ Burn-injured patients in a disaster: September 11th revisited. J Burn Care Res. 2006; 27(5):635-641.
7. Leahy NE, Yurt RW, Lazar EJ et al. Burn disaster response planning in New York City: updated recommendations for best practices. J Burn Care Res. 2012;33(5):587-94
8. Yurt RW, Lazar EJ, Leahy NE, et al. Burn disaster response planning: an urban region's approach. J Burn Care Res. 2008 Jan-Feb; 29(1):158-65.
9. Barillo DJ. Burn disasters and mass casualty incidents. J Burn Care Res. 2005; 26(2):107-108.
10. ABA Board of Trustees, Committee on Organization and Delivery of Burn care, Disaster Management and the ABA Plan. J Burn Care and Rehabil. 2005; 26(6):102-106.
11. Conlon K, Martin S. ‘Just send them all to a burn centre’:Managing burn resources in a mass casualty incident. J Bus Contin Emer Plan. 2001 Jun;5(2):150-160.
12. Jeng J, Gibran N. Burn care in disaster and other austere setting. Surg Clin N Am. 2014; 94(4):883-907.
13. Sabri A, Dabbous H. The airway in inhalational injury: diagnosis and management. Ann Burns Fire Disasters. 2017 Mar 31; 30(1):24-29.
14. Burgert JM. Intraosseous vascular access in disasters and mass casualty events: A review of the literature. Am J Disaster Med. 2016 Summer; 11(3):149-166.
15. Butler FK. Two Decades of Saving Lives on the Battlefield: Tactical Combat Casualty Care Turns 20. Mil Med. 2017 Mar; 182(3):e1563-e1568.
16. Jenner J, Graham SJ. Treatment of sulphur mustard skin injury. Chem Biol Interact. 2013 Dec 5; 206(3):491-5.
17. Braverman ER, Blum K, Loeffke B, et al. Managing terrorism or accidental nuclear errors, preparing for iodine-131 emergencies: a comprehensive review. Int J Environ Res Public Health. 2014 Apr 15; 11(4):4158-200.
18. Cancio LC, Kramer GC. Gastrointestinal fluid resuscitation of thermally injured patients. J Burn Care Res. 2006 Sep-Oct; 27(5):561-9.
19. White CE, Renz EM. Advances in surgical care: management of severe burn injury. Crit Care Med. 2008 Jul; 36(7 Suppl):S318-24.
20. Cancio LC, Pruitt BA. Management of mass casualty burn disasters. International Journal of Disaster Medicine. 2005; 2(4);114-129.
21. Barillo DJ, Dimick AR. The Southern Region Burn Disaster Plan. 2006; 27(5): 589-595.
22. Committee on Trauma, American College of Surgeons. Resources for Optimal Care of the Injured Patient. 2014.
23. Barillo DJ, Jordan MH. Tracking the daily availability of burn beds for national emergencies. Journal of Burn Care and Rehabilitation. 2005; 26(2):174-82.
24. Joho BS, Lozano D. Burn disaster-management planning: a preparedness tool kit. Journal of Burn Care and Research. 2014; 35(4): e205-216.
25. Kearns RD, Conlon KM, Valenta AL, et al. Disaster planning: the basics of creating a burn mass casualty disaster plan for a burn center. Journal of Burn Care and Research. 2014; 35(1): e1-13.
26. Lynn M, Gurr D. Management of conventional mass casualty incidents: Ten Commandments for hospital planning. Journal of Burn Care and Research. 2006; 27 (5): 649-58.
27. Jordan MH, Mozingo DW. Plenary Session II: American Burn Association disaster readiness plan. J Burn Res. 2005; 26:183-191.
28. Government, U. S. (2012). Medical surge capacity and capability: A management system for integrating medical and health resources during large-scale emergencies. Chapter 1: Overview of MSCC, Emergency Management and the Incident Command System. 3rd Edition.