Response of a single European burn center to Centelles mass casualty burn disaster: enzymatic debridement utility.

IF 1.4 Q3 EMERGENCY MEDICINE International Journal of Burns and Trauma Pub Date : 2022-01-01
Jon Ander Aguirrezabala, Jorge Aguilera-Sáez, Marc Illa-Boixaderas, Jordi Serracanta, Alejandra Monte-Soldado, Danilo Rivas-Nicolls, Juan P Barret
{"title":"Response of a single European burn center to Centelles mass casualty burn disaster: enzymatic debridement utility.","authors":"Jon Ander Aguirrezabala,&nbsp;Jorge Aguilera-Sáez,&nbsp;Marc Illa-Boixaderas,&nbsp;Jordi Serracanta,&nbsp;Alejandra Monte-Soldado,&nbsp;Danilo Rivas-Nicolls,&nbsp;Juan P Barret","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Mass burn casualty disasters present with a big challenge due to the complex multidisciplinary management of severely burned patients and the limited capacity of the specialized centers. Literature is scarce, and so is the management of these disasters with enzymatic debridement (ED).</p><p><strong>Methods: </strong>Retrospective observational analysis of nine patients admitted to the Vall d'Hebron University Hospital Burn Center (Barcelona, Spain), as a consequence of a bell tower explosion on December 30, 2019. The patients with intermediate-deep second-degree burns, either in circumferential or affecting highly functional areas as hands, feet or face, were included in the ED group. Continuous variables are expressed as mode and standard deviation and quantitative ones as percentages.</p><p><strong>Results: </strong>Fourteen people were injured after the explosion of gunpowder-containing bags in a bell tower during a cultural celebration. Nine casualties (6 men and 3 women) suffered burn injuries that required assessment and admission in our Burn Center. The mean age was 44.33 years (range 19-61 years), with burns covering a mean total body surface area (TBSA) of 15% (range 5-48% TBSA). One patient required invasive mechanical ventilation and intensive care management. Seven patients required ED, with an average debrided TBSA of 6.1% (range 3-10% TBSA). Seven out of 9 patients required at least one surgery. The average hospital stay was 23.33 days (range 2-53 days). No escharotomy was required and no patient died.</p><p><strong>Conclusions: </strong>This experience brought out the weak and strong features of our center when facing a situation that implies an important care stress. It can be useful for other Burn Centers in similar situations in the future. We found that new tools, such as ED, can be advantageous in such situations.</p>","PeriodicalId":45488,"journal":{"name":"International Journal of Burns and Trauma","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9845805/pdf/ijbt0012-0224.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Burns and Trauma","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: Mass burn casualty disasters present with a big challenge due to the complex multidisciplinary management of severely burned patients and the limited capacity of the specialized centers. Literature is scarce, and so is the management of these disasters with enzymatic debridement (ED).

Methods: Retrospective observational analysis of nine patients admitted to the Vall d'Hebron University Hospital Burn Center (Barcelona, Spain), as a consequence of a bell tower explosion on December 30, 2019. The patients with intermediate-deep second-degree burns, either in circumferential or affecting highly functional areas as hands, feet or face, were included in the ED group. Continuous variables are expressed as mode and standard deviation and quantitative ones as percentages.

Results: Fourteen people were injured after the explosion of gunpowder-containing bags in a bell tower during a cultural celebration. Nine casualties (6 men and 3 women) suffered burn injuries that required assessment and admission in our Burn Center. The mean age was 44.33 years (range 19-61 years), with burns covering a mean total body surface area (TBSA) of 15% (range 5-48% TBSA). One patient required invasive mechanical ventilation and intensive care management. Seven patients required ED, with an average debrided TBSA of 6.1% (range 3-10% TBSA). Seven out of 9 patients required at least one surgery. The average hospital stay was 23.33 days (range 2-53 days). No escharotomy was required and no patient died.

Conclusions: This experience brought out the weak and strong features of our center when facing a situation that implies an important care stress. It can be useful for other Burn Centers in similar situations in the future. We found that new tools, such as ED, can be advantageous in such situations.

Abstract Image

分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
单一欧洲烧伤中心对森特莱斯大规模伤亡烧伤灾难的反应:酶清创效用。
由于严重烧伤患者复杂的多学科管理和专业中心的能力有限,大规模烧伤伤亡灾害面临着巨大的挑战。文献是稀缺的,所以管理这些灾难与酶清创(ED)。方法:回顾性观察分析2019年12月30日西班牙巴塞罗那瓦尔德希伯伦大学医院烧伤中心因钟楼爆炸而入院的9例患者。中深度二度烧伤患者,无论是在周围还是影响手、脚或面部等高度功能区,都被纳入ED组。连续变量用模态和标准差表示,定量变量用百分比表示。结果:在一次文化庆祝活动中,钟楼内装有火药的袋子发生爆炸,造成14人受伤。9名伤亡者(6名男性和3名女性)遭受烧伤,需要在烧伤中心进行评估和入院。平均年龄44.33岁(范围19 ~ 61岁),烧伤面积平均占体表面积的15%(范围5 ~ 48%)。1例患者需要有创机械通气和重症监护管理。7例患者需要ED,平均清除TBSA为6.1%(范围3-10% TBSA)。9名患者中有7名至少需要一次手术。平均住院时间23.33天(2 ~ 53天)。无结膜切开术,无患者死亡。结论:这一经历揭示了本中心在面临重大护理压力时的强弱特点。在未来类似的情况下,这对其他烧伤中心是有用的。我们发现新的工具,如ED,在这种情况下是有利的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
自引率
12.50%
发文量
0
期刊最新文献
Autologous non-vascularized fibula with compression plating in the management of aseptic complex non-union of long bones. Combined awake videolaryngo-bronchoscopy intubation with HFNC preoxygenation for predicted difficult airway in a patient with post-burn mentosternal scar contracture. Comparative outcome of ultrasound guided vs. fluoroscopy guided hydrodilatation in adhesive capsulitis: a prospective study. Evaluation of pain associated with the application of burn dressings. Malignant peripheral nerve sheath tumour presenting as pathological fracture of proximal femur in neurofibromatosis type-1: a case report with brief literature search.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1