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  • Title: Deployment and operation of a transportable burn intensive care unit in response to a burn multiple casualty incident.
    Author: Barillo DJ, Cancio LC, Stack RS, Carr SR, Broger KP, Crews DM, Renz EM, Blackbourne LH.
    Journal: Am J Disaster Med; 2010; 5(1):5-13. PubMed ID: 20349698.
    Abstract:
    In many hospitals, intensive care units (ICUs) operate at or above capacity on a daily basis. Multiple casualty incidents will create a sudden need for additional ICU beds and hospital planning for disaster response must anticipate the need for rapid ICU expansion. In this article, the authors describe the management of 6 patients who were burned in Guam and successfully transported a distance of 7,268 miles to San Antonio, TX, for tertiary burn center care. The mission required creation of a temporary burn ICU at Tripler Army Medical Center in Hawaii, approximately midway between the referring hospital and the receiving burn center. A method of creating a temporary burn center is described. Lessons learned, including the need to standardize equipment, and to cross-train and cross-credential medical personnel, are applicable to both military and civilian mass casualty management.
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