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  • Title: [Implementation of "four-early principle" to raise the successful rate in mass burn casualties].
    Author: Zheng Q, Cai S, Chen J.
    Journal: Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi; 1999 Jul; 15(4):247-9. PubMed ID: 11593595.
    Abstract:
    OBJECTIVE: To evaluate the feasibility and result of "four-early principle" in the treatment of mass burn casualties. METHODS: During the last 12 years, a total of 155 burn patients were admitted in 18 groups, and the following principles were implemented; early rapid fluid resuscitation during shock stage for delayed resuscitation patients; early tracheostomy to assist air passage humidification and lavation for moderate and severe inhalation injury; planning escharectomy and grafting during shock stage in patients with extensive deep burns; emphasizing early stage enteral nutritional support. RESULTS: The successful rate of treatment was raised, and the incidence of complications decreased in mass casualties with serious burn after implementing early stage treatment principles. CONCLUSION: The application of "four-early principle" on the treatment of mass burn casualties is feasible and effective.
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