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The Pope Air Force Base aircraft crash and burn disaster. 教皇空军基地发生飞机坠毁和燃烧灾难。
The Journal of burn care & rehabilitation Pub Date : 2005-03-01 DOI: 10.1097/01.bcr.0000155536.98314.d8
David W Mozingo, David J Barillo, John B Holcomb
{"title":"The Pope Air Force Base aircraft crash and burn disaster.","authors":"David W Mozingo,&nbsp;David J Barillo,&nbsp;John B Holcomb","doi":"10.1097/01.bcr.0000155536.98314.d8","DOIUrl":"https://doi.org/10.1097/01.bcr.0000155536.98314.d8","url":null,"abstract":"<p><p>This report describes the initial hospital and burn center management of a mass casualty incident resulting from an aircraft crash and fire. One hundred thirty soldiers were injured, including 10 immediate fatalities. Womack Army Medical Center at Fort Bragg, North Carolina, managed the casualties and began receiving patients 15 minutes after the crash. As a result of repetitive training that included at least two mass casualty drills each year, the triage area and emergency department were cleared of all patients within 2 hours. Fifty patients were transferred to burn centers, including 43 patients to the US Army Institute of Surgical Research. This constitutes the largest single mass casualty incident experienced in the 57-year history of the Institute. All patients of the US Army Institute of Surgical Research survived to hospital discharge, and 34 returned to duty 3 months after the crash. The scenario of an on-ground aircraft explosion and fire approximates what might be seen as a result of an aircraft hijacking, bombing, or intentional crash. Lessons learned from this incident have utility in the planning of future response to such disasters.</p>","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 2","pages":"132-40"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000155536.98314.d8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24996602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 32
Nursing's role in the planning, preparation, and response to burn disaster or mass casualty events. 护理在计划、准备和应对烧伤灾害或大规模伤亡事件中的作用。
The Journal of burn care & rehabilitation Pub Date : 2005-03-01 DOI: 10.1097/01.bcr.0000155542.40176.30
Elisabeth Greenfield, Juanita Winfree
{"title":"Nursing's role in the planning, preparation, and response to burn disaster or mass casualty events.","authors":"Elisabeth Greenfield,&nbsp;Juanita Winfree","doi":"10.1097/01.bcr.0000155542.40176.30","DOIUrl":"https://doi.org/10.1097/01.bcr.0000155542.40176.30","url":null,"abstract":"","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 2","pages":"166-9"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000155542.40176.30","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25164828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
The Bali burn disaster: implications and lessons learned. 巴厘岛大火灾难:启示和教训。
The Journal of burn care & rehabilitation Pub Date : 2005-03-01 DOI: 10.1097/01.bcr.0000155532.31639.0d
Peter J Kennedy, Peter A Haertsch, Peter K Maitz
{"title":"The Bali burn disaster: implications and lessons learned.","authors":"Peter J Kennedy,&nbsp;Peter A Haertsch,&nbsp;Peter K Maitz","doi":"10.1097/01.bcr.0000155532.31639.0d","DOIUrl":"https://doi.org/10.1097/01.bcr.0000155532.31639.0d","url":null,"abstract":"<p><p>In October 2002, a terrorist attack on a nightclub in Bali resulted in an explosion and fire, causing the deaths of more than 200 people, including 88 Australian citizens. After first aid and primary care, the injured were repatriated to Darwin for triage and continued treatment and were then disseminated to various burn units throughout Australia. At the Repatriation General Hospital Concord Sydney, we received 12 patients with burns and a variety of blast injuries. Their treatment was complicated by infection with multiresistant organisms that were previously unseen in our unit and the presence of complex shrapnel wounds. There were no deaths and, with two exceptions, all patients were discharged within 6 weeks. This incident had profound effects on our unit, particularly related to the management of high-velocity shrapnel injuries, serious ongoing septic complications, and the psychological effects on both patients and staff, all of which are detailed and discussed.</p>","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 2","pages":"125-31"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000155532.31639.0d","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24996601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 57
The Pentagon attack of September 11, 2001: a burn center's experience. 2001年9月11日五角大楼袭击:烧伤中心的经验。
The Journal of burn care & rehabilitation Pub Date : 2005-03-01 DOI: 10.1097/01.bcr.0000155539.82870.64
Marion H Jordan, Kathleen A Hollowed, Dale G Turner, Dennis S Wang, James C Jeng
{"title":"The Pentagon attack of September 11, 2001: a burn center's experience.","authors":"Marion H Jordan,&nbsp;Kathleen A Hollowed,&nbsp;Dale G Turner,&nbsp;Dennis S Wang,&nbsp;James C Jeng","doi":"10.1097/01.bcr.0000155539.82870.64","DOIUrl":"https://doi.org/10.1097/01.bcr.0000155539.82870.64","url":null,"abstract":"<p><p>On September 11, 2001, an airplane flown by terrorists crashed into the Pentagon, causing a mass casualty incident with 189 deaths and 106 persons treated for injuries in local hospitals. Nine burn victims and one victim with an inhalation injury only were transported to the burn center hospital. The Burn Center at Washington Hospital Center admitted and treated the acute burn patients while continuing its mission as the regional burn center for the Washington DC region. Eight of the nine burn patients survived. Lessons learned include 1) A large-volume burn center hospital can absorb nine acute burns and maintain burn center and hospital operations, but the decision to keep or transfer burn patients must be tempered with the reality that several large burns can double or triple the work load for 2 to 3 months. 2) Transfer decisions should have high priority and be timely to ensure optimum care for the patients without need for movement of medical personnel from one burn center to another. 3) The reserve capacity of burn beds in the United States is limited, and the burn centers and the American Burn Association must continue to seek recognition and support from Congress and the federal agencies for optimal preparedness.</p>","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 2","pages":"109-16"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000155539.82870.64","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24996600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 50
Managing a combined burn trauma disaster in the post-9/11 world: lessons learned from the 2003 West Pharmaceutical plant explosion. 9/11后世界的综合烧伤灾难管理:从2003年西制药厂爆炸中吸取的教训。
The Journal of burn care & rehabilitation Pub Date : 2005-03-01 DOI: 10.1097/01.bcr.0000155527.76205.a2
Bruce A Cairns, Arvilla Stiffler, Fred Price, Michael D Peck, Anthony A Meyer
{"title":"Managing a combined burn trauma disaster in the post-9/11 world: lessons learned from the 2003 West Pharmaceutical plant explosion.","authors":"Bruce A Cairns,&nbsp;Arvilla Stiffler,&nbsp;Fred Price,&nbsp;Michael D Peck,&nbsp;Anthony A Meyer","doi":"10.1097/01.bcr.0000155527.76205.a2","DOIUrl":"https://doi.org/10.1097/01.bcr.0000155527.76205.a2","url":null,"abstract":"<p><p>At 1:37 pm on January 29, 2003, an explosion occurred at the West Pharmaceutical chemical plant in Kinston, North Carolina. The explosion killed three people at the scene and resulted in more than 30 admissions to area hospitals. The disaster resulted in 10 critically ill burn patients, who were all intubated with inhalation injuries, many with combined burn and trauma injuries. All 10 critically injured patients were admitted to a tertiary care facility 100 miles away with both a Level I trauma center and a verified burn center. Ultimately, 7 of 10 patients survived (a mortality rate of 30%), and none were transferred to another trauma or burn center. This article analyzes the unique challenges that combined burn and trauma patients present during a disaster, critically examines the response to this disaster, describes lessons learned, and presents recommendations that may improve the response to such disasters in the future.</p>","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 2","pages":"144-50"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000155527.76205.a2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25164821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 43
Burn specialty teams. 烧掉专业团队。
The Journal of burn care & rehabilitation Pub Date : 2005-03-01 DOI: 10.1097/01.bcr.0000155544.38709.6e
Rob Sheridan, David Barillo, David Herndon, Lynn Solem, William Mohr, Patrick Kadilack, Brenda Whalen, Sally Morton, Jackie Nall, Nancy Massman, Michael Buffalo, Susan Briggs
{"title":"Burn specialty teams.","authors":"Rob Sheridan,&nbsp;David Barillo,&nbsp;David Herndon,&nbsp;Lynn Solem,&nbsp;William Mohr,&nbsp;Patrick Kadilack,&nbsp;Brenda Whalen,&nbsp;Sally Morton,&nbsp;Jackie Nall,&nbsp;Nancy Massman,&nbsp;Michael Buffalo,&nbsp;Susan Briggs","doi":"10.1097/01.bcr.0000155544.38709.6e","DOIUrl":"https://doi.org/10.1097/01.bcr.0000155544.38709.6e","url":null,"abstract":"Natural disasters have always been a threat. human-caused disasters, especially terrorist acts, are increasing in frequency. Burn centers and providers have an important contribution to make in caring for those injured in these incidents. The most effective way to make a contribution is to act in cooperation with the Federal Disaster Response, which is organized by the Department of Homeland Security and the Federal Emergency Management Agency. It appears that this can be most effectively accomplished through participation in the Burn Specialty Team Program, which has been developed to rapidly augment emergency medical teams with burn expertise.","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 2","pages":"170-3"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000155544.38709.6e","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25164826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
Primer on the management of face burns at the University of Washington. 华盛顿大学面部烧伤处理入门课程。
The Journal of burn care & rehabilitation Pub Date : 2005-01-01 DOI: 10.1097/01.bcr.0000150213.07348.06
Matthew B Klein, Merilyn L Moore, Beth Costa, Loren H Engrav
{"title":"Primer on the management of face burns at the University of Washington.","authors":"Matthew B Klein,&nbsp;Merilyn L Moore,&nbsp;Beth Costa,&nbsp;Loren H Engrav","doi":"10.1097/01.bcr.0000150213.07348.06","DOIUrl":"https://doi.org/10.1097/01.bcr.0000150213.07348.06","url":null,"abstract":"","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 1","pages":"2-6"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000150213.07348.06","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24895982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 33
Body water in children during recovery from severe burn injury using a combined tracer dilution method. 用联合示踪剂稀释法测定严重烧伤恢复期儿童的体液。
The Journal of burn care & rehabilitation Pub Date : 2005-01-01 DOI: 10.1097/01.bcr.0000150300.16237.47
Kathy Prelack, Joanna Dwyer, Robert Sheridan, Yong-Ming Yu, Martha Lydon, Lisa Petras, Greg Dolnikowski, Joseph J Kehayias
{"title":"Body water in children during recovery from severe burn injury using a combined tracer dilution method.","authors":"Kathy Prelack,&nbsp;Joanna Dwyer,&nbsp;Robert Sheridan,&nbsp;Yong-Ming Yu,&nbsp;Martha Lydon,&nbsp;Lisa Petras,&nbsp;Greg Dolnikowski,&nbsp;Joseph J Kehayias","doi":"10.1097/01.bcr.0000150300.16237.47","DOIUrl":"https://doi.org/10.1097/01.bcr.0000150300.16237.47","url":null,"abstract":"<p><p>Useful information about hydration and the size of the body cell mass (BCM) can be obtained by monitoring changes in the amount of total body water (TBW) and its components, extracellular water (ECW) and intracellular water (ICW). A combined tracer dilution method with deuterium to measure TBW and bromide to measure ECW was used to assess changes in ICW (as a proxy for the BCM) and in the ECW/ICW ratio (an indicator of water distribution) over the course of recovery in nine severely burned children. During the acute phase of recovery, ICW losses averaged (mean +/- SD) 2.2 +/- 2.0 liters (P = .02) or 18.5 +/- 0.4%. During the rehabilitative phase, mean ICW increased by 3.4 +/- 3.7 liters or 31.9 +/- 14%. The ECW/ICW ratio varied widely both between patients and during the course of the study. During the acute phase of recovery, the mean ECW/ICW ratio increased from 1.06 +/- 0.15 liters to 1.20 +/- 0.14 liters because the ECW compartment had expanded relative to the ICW compartment. During rehabilitation, the ECW/ICW ratio decreased from 1.20 +/- 0.14 liters to 0.86 +/- 0.20 liters, with a recoup of ICW and continued ECW losses. Tracking ICW and the ECW/ICW ratio using the combined tracer dilution method is practical for monitoring BCM and water distribution in severely burned children. Taken together, the indices provide useful information about hydration and nutritional status in individuals recovering from severe burn injury.</p>","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 1","pages":"67-74"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000150300.16237.47","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24895934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
It ain't over 'til it's over. 直到一切都结束才算结束。
The Journal of burn care & rehabilitation Pub Date : 2005-01-01 DOI: 10.1097/01.bcr.0000151443.15284.fa
Lynn D Solem
{"title":"It ain't over 'til it's over.","authors":"Lynn D Solem","doi":"10.1097/01.bcr.0000151443.15284.fa","DOIUrl":"https://doi.org/10.1097/01.bcr.0000151443.15284.fa","url":null,"abstract":"","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 1","pages":"19-20"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000151443.15284.fa","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24895985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 67
Burns down under: lessons lost, lessons learned. 烧毁澳大利亚:失去的教训，吸取的教训。
The Journal of burn care & rehabilitation Pub Date : 2005-01-01 DOI: 10.1097/01.bcr.0000151596.79944.ab
Stephen M H Mills
{"title":"Burns down under: lessons lost, lessons learned.","authors":"Stephen M H Mills","doi":"10.1097/01.bcr.0000151596.79944.ab","DOIUrl":"https://doi.org/10.1097/01.bcr.0000151596.79944.ab","url":null,"abstract":"","PeriodicalId":22626,"journal":{"name":"The Journal of burn care & rehabilitation","volume":"26 1","pages":"42-52"},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/01.bcr.0000151596.79944.ab","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24895988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
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