Document Detail


Anatomy of a burns disaster: the Miri Bank explosion.
MedLine Citation:
PMID:  1292393     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A bank explosion in a neighbouring country over 1000 km away resulted in ten badly burned victims being airlifted to the Burns Centre, Singapore General Hospital (BCSGH) for treatment. The severely injured included patients with 90%, 80%, 74%, 66%, 45%, 33% and 31% burns. Nine had respiratory burns (four severe, one moderate, four mild). One patient died, thus, the mortality rate for the six most severely injured was 16.7%. This differs from predicted mortality rates of 78% according to McCoy or 54% according to Thompson, Herndon et al. The factors contributing to this result were the small size of the disaster, the use of an established Burns Mass Disaster plan and an individual management policy that incorporates carefully monitored fluid resuscitation, recognition of respiratory burns with early treatment by intubation thus pre emptying complications, early surgery and a multidisciplinary approach to complications such as infection and renal failure. The average length of stay was 43 days (range 5-122 days). The cost of the hospitalisation of the ten casualties was $312,317.00.
Authors:
W T Wu; R C Ngim
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Academy of Medicine, Singapore     Volume:  21     ISSN:  0304-4602     ISO Abbreviation:  Ann. Acad. Med. Singap.     Publication Date:  1992 Sep 
Date Detail:
Created Date:  1993-03-29     Completed Date:  1993-03-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7503289     Medline TA:  Ann Acad Med Singapore     Country:  SINGAPORE    
Other Details:
Languages:  eng     Pagination:  640-8     Citation Subset:  IM    
Affiliation:
Department of Plastic Surgery, Singapore General Hospital.
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MeSH Terms
Descriptor/Qualifier:
Adult
Blast Injuries / therapy*
Burn Units / organization & administration
Burns, Inhalation / therapy*
Disaster Planning
Emergency Medical Services
Explosions*
Female
Humans
Malaysia
Middle Aged
Patient Care Team
Singapore
Transportation of Patients

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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