Document Detail

Managing a combined burn trauma disaster in the post-9/11 world: lessons learned from the 2003 West Pharmaceutical plant explosion.
MedLine Citation:
PMID:  15756116     Owner:  NLM     Status:  MEDLINE    
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.
Bruce A Cairns; Arvilla Stiffler; Fred Price; Michael D Peck; Anthony A Meyer
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of burn care & rehabilitation     Volume:  26     ISSN:  0273-8481     ISO Abbreviation:  J Burn Care Rehabil     Publication Date:    2005 Mar-Apr
Date Detail:
Created Date:  2005-03-09     Completed Date:  2005-07-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8110188     Medline TA:  J Burn Care Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  144-50     Citation Subset:  IM    
North Carolina Jaycee Burn Center and Department of Surgery, University of North Carolina, Chapel Hill, North Carolina 27514, USA.
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MeSH Terms
Burn Units / organization & administration*,  utilization
Burns / mortality,  therapy*
Disaster Planning / organization & administration*
Drug Industry*
Emergency Medical Service Communication Systems
Emergency Medical Services / organization & administration*
North Carolina / epidemiology
Organizational Case Studies
Patient Transfer
Regional Medical Programs
September 11 Terrorist Attacks
Time Factors
Trauma Centers / organization & administration*,  utilization

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

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