Challenges of burn mass casualty incidents in the prehospital setting: lessons from the Formosa fun coast park color party

CH Lin, CH Lin, CY Tai, YY Lin… - Prehospital emergency …, 2019 - Taylor & Francis
CH Lin, CH Lin, CY Tai, YY Lin, FFY Shih
Prehospital emergency care, 2019Taylor & Francis
Objective: A burn mass casualty incident (BMCI) involving 499 patients occurred at a “color
party” in Taiwan in June 27, 2015. We implemented a study to identify critical challenges
regarding the prehospital emergency care in BMCIs. Methods: A 3-stage, mixed methods
study was conducted in 2016. First, a statistical analysis of prehospital management using
the data retrieved from the Emergency Medical Management System of the Ministry of
Health and Welfare, Taiwan was performed. This was followed by a face-to-face, open …
Objective
A burn mass casualty incident (BMCI) involving 499 patients occurred at a “color party” in Taiwan in June 27, 2015. We implemented a study to identify critical challenges regarding the prehospital emergency care in BMCIs.
Methods
A 3-stage, mixed methods study was conducted in 2016. First, a statistical analysis of prehospital management using the data retrieved from the Emergency Medical Management System of the Ministry of Health and Welfare, Taiwan was performed. This was followed by a face-to-face, open-ended interview with the emergency medical technicians and the staff of the emergency operations center who responded to the incident; and the transcription of the interview data into constructed themes.
Results
Our study indicated that the signs of inhalation injury needed to be incorporated in the field triage protocol for BMCIs; the collaborative utilization of regional emergency medical services may improve the surge capacity in the field; and an “island-hopping” strategy for patient transportation may allow the healthcare systems to manage the surge of burn patients more efficiently.
Conclusions
Current field triage protocols may be insufficient for burn patients and should be further investigated. The practices in field triage, transport capacity, and transfer strategy can be considered as a part of an efficient prehospital emergency response to BMCIs.
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