The Charlotte Maxeke Johannesburg Academic Hospital Fire: Our Orthopaedic Surgery Disaster Management and Lessons Learnt

Dr. Collen Sandile Nkosi, Lunga Mbuqe Lunga Mbuqe, Philani Ian Ntombela, M. Jingo, Mmampapatla Thomas Ramokgopa
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Abstract

Purpose: This report aims to review the orthopaedic doctor's experiences and to provide insight for the formulation of response measures for similar incidents in the future.We further report on our orthopaedic surgery disaster management and lessons learnt Methodology: A retrospective review of orthopaedic patients who were admitted at Chris Hani Baragwanath academic hospital (CHBAH) from the 01 April to 30 April 2021, the month of the fire incident. Data were obtained from the hospital casualty, inpatient registers, and outpatient registers. Data were compared before and after the fire incident. Findings: Transfer was provided to 51 patients to CHBAH orthopaedic emergency unit. Forty-three (84.3%) were adult patients and eight (15.7%) were paediatric patients. There were fewer daily admissions to orthopaedic emergency unit in the last 15 days of the month of the disaster compared to the first 15 days, when the 51 cases from Charlotte Maxeke Johannesburg Academic Hospital (CMJAH) were excluded (mean: 12.89 versus 13.26). The orthopaedic outpatient department doctor to patient ratio improved after the fire incident. Recommendation: The four phases’ disaster approach- preparedness, response, recovery and mitigation remain applicable to disaster management. Planning for emergencies the dedication of orthopaedic professionals and hospital employees can all contribute to the highest quality patient care.  
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夏洛特·马克克约翰内斯堡学术医院火灾:我们的骨科手术灾难管理和经验教训
目的:本报告旨在回顾骨科医生的经验,为今后制定类似事件的应对措施提供参考。我们进一步报告了我们的骨科手术灾难管理和经验教训的方法:对克里斯哈尼巴拉格瓦纳特学术医院(CHBAH)从2021年4月1日至4月30日(火灾事件当月)入院的骨科患者进行回顾性审查。数据来自医院伤亡、住院和门诊登记。对火灾发生前后的数据进行了比较。结果:51例患者转至CHBAH骨科急诊科。43例(84.3%)为成人患者,8例(15.7%)为儿科患者。在灾难发生当月的最后15天,骨科急诊科的每日入院人数少于前15天,当时排除了夏洛特·麦克塞克约翰内斯堡学术医院(CMJAH)的51例(平均值:12.89对13.26)。火灾后骨科门诊的医患比有所提高。建议:备灾、应对、恢复和减轻四个阶段的灾害方法仍然适用于灾害管理。骨科专业人员和医院员工的敬业精神都有助于为患者提供最高质量的护理。
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