Document Detail


Fire disaster in Gothenburg 1998--surgical treatment of burns.
MedLine Citation:
PMID:  12880720     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A tragic in-door fire disaster took place on 29 October 1998 at a discotheque in Gothenburg, Sweden. Nearly 400 youths attending a Halloween party were inside the building when the fire started, killing 61 people and injuring another 213 persons. A total of 154 youths were admitted to hospital care. Twenty-three patients requiring primary reconstructive burn surgery were followed and their records from the different burn units were examined. Total body surface area (TBSA), burn depth, surgical treatment, hospital stay, and complications were studied. In contrast to what is normally encountered in burn patients, well circumscribed predominantly full-thickness burns covering 1-40% TBSA were observed while partial-thickness burns only comprised 1-7% TBSA. Exposed bone was seen in 10 out of 23 patients. Escharotomies were performed in 11 patients, in six of whom that fasciotomies had to be performed. Primary excisions and skin grafting were performed in 22 patients. Five patients acquired amputations. Eight patients required local flaps and two had free flap coverage. Thoracic surgery was performed in one patient due to endocarditis. Severe infections occurred in eight patients. Hospital stay varied between 21 and 164 days.
Authors:
P Tarnow; F Gewalli; J Cassuto
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  29     ISSN:  0305-4179     ISO Abbreviation:  Burns     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-07-25     Completed Date:  2003-10-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  England    
Other Details:
Languages:  eng     Pagination:  417-21     Citation Subset:  IM    
Affiliation:
Department of Plastic Surgery, Sahlgrenska University Hospital, SE-413 45 Göteborg, Sweden. peter.tarnow@vgregion.se
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Amputation
Burns / complications,  mortality,  surgery*
Child
Dancing
Disasters*
Female
Fires*
Follow-Up Studies
Humans
Length of Stay
Male
Skin Transplantation / methods
Smoke Inhalation Injury / complications
Surgical Flaps
Triage

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


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