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Journal Article

Citation

Kearns RD, Flores CA, Arledge F, Hargrove P, Prats R, Kanter J, Sittig K, Barrios J, Phelan HA, Carter JE. J. Burn Care Res. 2023; ePub(ePub): ePub.

Copyright

(Copyright © 2023, American Burn Association, Publisher Lippincott Williams and Wilkins)

DOI

10.1093/jbcr/irad059

PMID

37095604

Abstract

Disaster preparedness for a burn mass casualty incident (BMCI) must consider the needs of the first responders and community hospitals, who may be the first to receive those patients. Developing a more comprehensive statewide burn disaster program includes meeting with regional healthcare coalitions (HCCs) to identify gaps in care. Quarterly HCC meetings, which link local hospitals, emergency medical services (EMS) agencies, and other interested parties, are held around the state. We rely on the HCC's regional meetings to serve as a platform for conducting focus group research to identify gaps specific to a BMCI and to inform strategy development. One of the deficiencies identified, particularly in rural areas that infrequently manage burn injuries, was a lack of burn-specific wound care dressings that could support the initial response. Relying on this process, a consensus was created for equipment types and quantities, including a kit for storage. Furthermore, maintenance, supply replacement, and scene delivery processes were developed for these kits that could augment a BMCI response. The feedback from the focus groups reminded us that many systems report having infrequent opportunities to provide care for patients with burn injuries. Additionally, several types of burn-specific dressings are expensive. With the infrequent occurrence, EMS agencies and rural hospitals reported that it was doubtful their agency/hospital would have more than a minimal stock of burn injury supplies. Therefore, developing supply caches that can be quickly mobilized and deployed to the impacted area was one of the deficiencies we identified and addressed through this process.


Language: en

Keywords

Surge Capacity; Terrorism; Advanced Burn Life Support (ABLS); Burn Disaster; Burn Mass Casualty Incident (BMCI); Burn Surge; Disaster Planning; Mass Burn Event (MBE); Mass Casualty Incident; Surge Equilibrium

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