Management of the Formosa Color Dust Explosion: Lessons Learned from the Treatment of 49 Mass Burn Casualty Patients at Chang Gung Memorial Hospital
Management of the Formosa Color Dust Explosion: Lessons Learned from the Treatment of 49 Mass Burn Casualty Patients at Chang Gung Memorial Hospital
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DOI：
10.1097/prs.0000000000002148
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发表时间：
2016-06-01
影响因子：
3.6
通讯作者：
Chung, Kevin C.
中科院分区：
文献类型：
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作者：
Cheng, Ming-Huei;Mathews, Alexandra L.;Chung, Kevin C.
背景技术背景：本文报道了2015年6月27日发生在台湾新北市的大规模伤亡灾难的应急管理，当时一场大火在大量人群中爆发，造成499人受伤。烧伤护理治疗和灾难准备的经验教训进行了分析，通过以下具体的手术反应和病人的结果，一家医院参与的灾难responsibility.METHODS：有关消防和应急管理的信息是从卫生部和台湾福利。患者的具体数据，从长庚医院的病人records.RESULTS：大规模伤亡管理系统是由卫生和福利部立即启动，联系当地医院准备涌入的严重烧伤患者。长庚医院紧急召集336名医护人员，负责49名烧伤病人的管理，并在主任医师之间分配紧急管理职责。到这家医院就诊的患者的平均烧伤总体表面积为44.2%（范围为10%至90%）。爆炸发生后的48小时内没有人员死亡。截至3个月后，事件发生后，只有12人死亡，导致这起事故，所有导致败血症和器官failure.CONCLUSIONS：台湾的有效的大规模伤亡准备计划，训练有素的医务人员，和大型中心能够治疗烧伤病人允许499受伤的病人被成功地转移到台湾各地的医院和治疗。从这次救灾中吸取的经验教训可以纳入现有的灾害管理计划，以帮助应对大规模伤亡悲剧。
BACKGROUND: This article reports the emergency management of a mass casualty disaster occurring on June 27, 2015, in New Taipei, Taiwan, as a fire erupted over a large crowd, injuring 499 people. Lessons learned in burn care treatment and disaster preparedness are analyzed through following the specific surgical response and patient outcomes of one hospital involved in the disaster response.METHODS: Information regarding the fire and emergency management was obtained from the Ministry of Health and Welfare of Taiwan. Patient-specific data were obtained from Chang Gung Memorial Hospital's patient records.RESULTS: A mass casualty management system was immediately initiated by the Ministry of Health and Welfare, which contacted local hospitals to prepare for the influx of patients with severe burn injuries. In response, Chang Gung Memorial Hospital called 336 medical personnel to the emergency room for the management of 49 burn patients and divided emergency management roles among chief physicians. The mean burn total body surface area of patients presenting to this hospital was 44.2 percent (range, 10 to 90 percent). No deaths occurred in the first 48 hours after the explosion. As of 3 months after the incident, only 12 deaths had resulted from this accident, all resulting from sepsis and organ failure.CONCLUSIONS: Taiwan's effective mass casualty preparation plans, highly trained medical personnel, and large centers capable of treating burn patients allowed 499 injured patients to be successfully transferred and treated in hospitals across Taiwan. Lessons learned from this disaster response can be integrated into existing disaster management plans to aid in the response to mass casualty tragedies.