| Medical Events During the 2009 Los Angeles County Station Fire: Lessons for Wildfire EMS Planning. | |
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MedLine Citation:
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PMID: 21870944 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Abstract Background. Little is known about the types of injuries and medical problems encountered by fire department personnel during suppression of large campaign-type wildland fires. Such information could help to plan for response to medical incidents during future wildfires. Objective. To describe the injuries and medical problems experienced by firefighters during the 2009 Los Angeles County Station Fire. Methods. This was a retrospective analysis of case records of patients treated during the Los Angeles County Station Fire. Data were abstracted from two sources: the incident command medical tracking sheet and prehospital patient care reports (PCRs). Results. The sample included 183 patient contacts, of which PCRs were available for 65. For the remaining 118 patients, data were abstracted from the incident command medical tracking sheet. The most common chief complaint was extremity injury, accounting for 44 patient contacts (24% of all patients), with smoke inhalation second, at 32 patient contacts (17%). Of the 65 patients with PCRs, 31 (52%) were treated with oxygen, 26 (40%) had intravenous (IV) lines started, and 15 (23%) received an IV fluid bolus. Half of the patients were transported to an emergency department (ED); the remainder were treated on scene or self-transported to a non-acute care facility. Conclusions. Most firefighter injuries and illnesses encountered during the Los Angeles Station Fire were minor. The prevalence of injuries observed should be taken into consideration in creation of protocols and mandatory equipment lists for fireline paramedics. Furthermore, advanced training for paramedics in the diagnosis and treatment of minor medical conditions may be useful. |
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Authors:
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Benjamin Squire; Cathy Chidester; Stephanie Raby |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors Volume: 15 ISSN: 1545-0066 ISO Abbreviation: Prehosp Emerg Care Publication Date: 2011 Oct-Dec |
Date Detail:
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Created Date: 2011-08-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9703530 Medline TA: Prehosp Emerg Care Country: England |
Other Details:
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Languages: eng Pagination: 464-72 Citation Subset: IM |
Affiliation:
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From the Department of Emergency Medicine (BS), Harbor-UCLA Medical Center, Torrance, California; and the Los Angeles County EMS Agency (CC, SR), Santa Fe Springs, California. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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