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

Abstract 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 Swit...

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Bibliographic Details
Published in:Burns 2010-09, Vol.36 (6), p.741-750
Main Authors: Potin, Mathieu, Sénéchaud, Christophe, Carsin, Hervé, Fauville, Jean-Philippe, Fortin, Jean-Luc, Kuenzi, Walter, Lupi, Gianpiero, Raffoul, Wassim, Schiestl, Clemens, Zuercher, Mathias, Yersin, Bertrand, Berger, Mette M
Format: Article
Language:English
Subjects:
Biological and medical sciences
Burn care
Burn center
Burn disasters
Burn teams
Burns
Burns - therapy
Critical Care
Disaster preparedness
Emergency Service, Hospital - organization & administration
Epidemiology
General aspects
Humans
Intensive Care Units - organization & administration
Major burn incidents
Mass burn casualties
Mass casualty incident
Mass Casualty Incidents
Medical sciences
Military Medicine - organization & administration
Models, Organizational
Public health. Hygiene
Public health. Hygiene-occupational medicine
Surge capacity
Switzerland
Traumas. Diseases due to physical agents
Triage
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Summary:Abstract 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)
ISSN:0305-4179
1879-1409
DOI:10.1016/j.burns.2009.12.003