Something should be done for burn mass casualty incidents

Yastı, Ahmet Çınar; Akgün, Ali Emre; Akın, Merve

doi:10.1016/j.burns.2021.09.018

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…29 Furthermore, injury-specific resources such as the Advanced Burns Life Support course, the American Burn Association’s Disaster Response guidelines, and the World Health Organisation’s Emergency Medical Teams Technical Working Group on Burns have widespread global support and expert consensus of their utility in improving mortality and morbidity outcomes in mass casualty burns disasters. 30–33…”

Section: Discussionmentioning

confidence: 99%

“…29 Furthermore, injury-specific resources such as the Advanced Burns Life Support course, the American Burn Association's Disaster Response guidelines, and the World Health Organisation's Emergency Medical Teams Technical Working Group on Burns have widespread global support and expert consensus of their utility in improving mortality and morbidity outcomes in mass casualty burns disasters. [30][31][32][33] Training and education aside, the Occupational Safety and Health Administration (OSHA) under the jurisdiction of the United States Department of Labor, sets robust emergency preparedness and response guidelines for the industrial sector which are considered gold standard around the world. 34 While research around occupational morbidity and mortality in the industrial sector does exist around the world and continuously informs changes in safety policies and protocols, they are predominantly focused on causal factors of single accident events, rather than mass casualty events.…”

Section: Discussionmentioning

confidence: 99%

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Descriptive Analysis of the Healthcare Aspects of Industrial Disasters Around the World

Hertelendy

Hart

Ciottone

et al. 2023

Disaster med. public health prep.

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Introduction: Industrial disasters can have a myriad of repercussions ranging from deaths, injuries, and long-term adverse health impacts on nearby populations, to political fallout and environmental damage. This is a descriptive epidemiological analysis of industrial disasters occurring between 1995 and 2021 which may provide useful insight for healthcare systems and disaster medicine specialists to better prevent and mitigate the effects of future industrial disasters. Methods: Data was collected using a retrospective database search of the Emergency Events Database (EM-DATS) for all industrial disasters occurring between January 1, 1995 - December 31, 2021. Results: 1,054 industrial disasters were recorded from 1995 to 2021. The majority of these disasters occurred in Asia (720, 68.3%), with 131 (12.4%) in Africa, 107 (10.2%) in Europe, 94 (8.9%) in the Americas, and 2 (0.2%) in Oceania. Half of these disasters were explosions (533, 50.6%), 147 (13.9%) were collapses, 143 (13.6%) were fires, 46 (4.4%) were chemical spills, 41 (3.9%) were gas leaks, and 34 (3.2%) were poisonings. There were 6 (0.6%) oil spills and 3 (0.3%) radiation events. Conclusion: A total of 29,708 deaths and 57,605 injuries were recorded as a result of industrial disasters and they remain a significant contributor to the healthcare risks of both workers and regional communities. The need for specialized emergency response training, the potential devastation of an industrial accident, and the vulnerability of critical infrastructure as terror targets highlight the need to better understand the potential immediate and long-term consequences of such events and to improve healthcare responses in the future.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Descriptive Analysis of the Healthcare Aspects of Industrial Disasters Around the World

Hertelendy

Hart

Ciottone

et al. 2023

Disaster med. public health prep.

View full text Add to dashboard Cite

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One disaster two traumas: Being under rubble and burn injuries in the 2023 Maraş, Turkey earthquakes

Akın,

Tuncer,

Yastı

2024

Burns

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Do pre-burn center management algorithms work? Evaluation of pre-admission diagnosis and treatment adequacy of burn patients referred to a burn center

Tuncer,

Akın,

Çakırca

et al. 2023

Journal of Burn Care &Amp; Research

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Interventions for burn management until the patient is transferred to a burn center affect mortality and morbidity. Therefore, adherence to the developed algorithms is an important issue. This study aimed to determine deficiencies in different aspects of the implementation of these algorithms during the pre-admission diagnosis and treatment processes of patients referred to our burn center. This study involved a four-year review of patients referred to our burn center. 170 burn cases admitted by referral were enrolled in the study. Adequacy of resuscitation within the first 24 hours, adherence to guidlines, and mortality were investigated. Resuscitation performed within the first 24 hours was found to be inadequate in 88 patients (51.8%). When the burned surface area percentages were evaluated all percentages were calculated higher before arrival. There were 78 major burn cases (45.9%), and the frequency of inhalation burns, intubation requirements and renal failure were more common in this group compared to the minor burn group (p<0.001). The frequency of intubation without accurate indications was found to be 70.58% . Inadequate escharotomy was detected at a rate of 52.9% , and inadequate fasciotomy at a rate of 66.6% . The mortality rate was 22.4% among all patients. Interventions undertaken during the period until the patients’ referral to these centers affect mortality and morbidity. In this study, it was found that the pre-hopital applications generated were insufficient, and it was proposed that burn patient care algorithms be developed with in-service training throughout the country.

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Something should be done for burn mass casualty incidents

Cited by 3 publications

References 2 publications

Descriptive Analysis of the Healthcare Aspects of Industrial Disasters Around the World

Descriptive Analysis of the Healthcare Aspects of Industrial Disasters Around the World

One disaster two traumas: Being under rubble and burn injuries in the 2023 Maraş, Turkey earthquakes

Do pre-burn center management algorithms work? Evaluation of pre-admission diagnosis and treatment adequacy of burn patients referred to a burn center

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