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  • Title: [Treatment of mass burns].
    Author: Zhou Y.
    Journal: Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi; 1999 Jul; 15(4):250-1. PubMed ID: 11593596.
    Abstract:
    OBJECTIVE: Present paper aims at summing up the experience from 42 cases over a four year period(1993-1997) in ten events of mass burn casualties. METHODS: 42 cases were analyzed retrospectively, in whom 15 cases sustained III degree burn over 50% TBSA. Among them 7 cases had III degree burn over 70% and 3 cases with III degree burn over 90%. RESULTS: One case (70% TBSA) died of acute respiratory distress syndrome on third postburn day. Another (III degree 70%) died of acute renal failure on seventh postburn day. The remaining 40 cases were successfully cured. CONCLUSION: Experiences gained in burn care in these ten mass casualties included: sending forward the medical expertise to the site of disaster; airlifting to accelerate transportation, adequate resuscitation in shock stage; early massive excision of eschar and skin grafting; control of burn infection; prevention of Curling ulcer hemorrhage, emphasis on supportive therapy; and the establishment of a skin bank.
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