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Optimal Timing and Approaches for First Tangential Excision in Patients with ≥70% TBSA Burns: Insights from a Retrospective Cohort of a Mass Casualty Incident.
Ann Surg
January 2025
Department of Burn Surgery, the First Affiliated Hospital of Naval Medical University, 200433, Shanghai, People's Republic of China; Research Unit of Key Techniques for Treatment of Burns and Combined Burns and Trauma Injury, Chinese Academy of Medical Sciences, 200433, Shanghai, People's Republic of China.
Objective: We aim to determine the optimal timing and approaches for first tangential excision of severely burned patients ≥70% total body surface area (TBSA).
Background: Early tangential excision is the gold-standard surgical therapy for full-thickness burns. However, there are debates about its optimal timing and approaches for severely burned patients ≥70%TBSA.
The impact of an All-Hazard mass casualty event on emergency department operations: A retrospective study.
Am J Emerg Med
January 2025
Medical Management, Shamir Medical Center (Formerly Assaf Harofeh), Zerifin, Israel, An Affiliated of the Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Background: Mass Casualty Events (MCI) which have a direct and persisting impact on the safety and well-being of an emergency department (ED) and its staff, secondary to specific targeting of the healthcare setting, represent a distinct and complex operational challenge. ED physicians may be faced with the prospect of providing ongoing patient care while simultaneously experiencing direct threats to their own health or physical safety. In our study we considered the unique operational challenges encountered, and management strategies adopted, by the ED staff and its leadership to an all-hazard MCI impacting an academic urban emergency department.
View Article and Find Full Text PDFManagement of mass casualty incidents: a systematic review and clinical practice guideline update.
Eur J Trauma Emerg Surg
January 2025
Institute for Research in Operative Medicine (IFOM), Faculty of Health, School of Medicine, Witten/Herdecke University, Ostmerheimer Str. 200, 51109, Cologne, Germany.
Purpose: Our aim was to generate evidence- and consensus-based recommendations for the management of mass casualty incidents (MCIs) based on current evidence. This guideline topic is part of the 2022 update of the German guideline on the treatment of patients with severe/multiple injuries.
Methods: MEDLINE and Embase were systematically searched to August 2021.
Mental Health Status and Related Factors of Citizens 6 Months after Mass Death and Injury Due to Crowd Crush Incident: Focused on the Itaewon Disaster in 2022.
Disaster Med Public Health Prep
January 2025
Master Student, Red Cross College of Nursing, Chung-Ang University, Seoul, Korea.
Objective: Crowd crush disasters result in psychological risks such as anxiety, depression, and post-traumatic stress disorder (PTSD). This descriptive research study identified the mental health status of Koreans after the Itaewon crowd crush disaster and explored related factors.
Methods: Data were collected May 2-9, 2023 using an online survey.
Optimizing mass casualty: an incident report of centralizing patient transport and its impact on triage efficiency.
J Rural Med
January 2025
Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan.
In mass casualty incidents, effective triage, treatment, and transport are critical for efficient management but often deviate from practices and ethical standards. In terms of resource allocation, decentralized transport is the predominant transport method; however, it is not standardized. This report retrospectively analyzed the response to a mass casualty incident at a university emergency center.
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