title: [Disaster management lessons can be learned from the Gothenburg fire].
abstract: On the night of October 29, 1998, a fire broke out in an old warehouse in Gothenburg, where nearly 400 teenagers had gathered for a disco party. More than 200 patients were brought to four different hospitals in the region. Sixty-one people died at the scene due to inhalation of toxic fumes caused by the fire. Another two died later in the hospital due to severe burns. Disaster management in Sweden is based on mobile medical teams consisting of hospital staff supporting ambulance crews in the event of major incidents. Only one team together with a GP was able to be mobilized during this incident. Thus, medical care at the scene was limited. The principle of OEload and go pi was used, placing the major burden of triage on the hospitals. The limited numbers of medical personnel and available supplies caused major stress for the physicians involved at the scene.
authors.affiliation: Divisionen för allmän kirurgi, Sahlgrenska universitetssjukhuset. per.ortenwall@sahlgrenska.se
authors.forename: P
authors.initials: P
authors.lastname: Ortenwall
authors.forename: C
authors.initials: C
authors.lastname: Sager-Lund
authors.forename: J
authors.initials: J
authors.lastname: Nyström
authors.forename: S
authors.initials: S
authors.lastname: Martinell
mesh_terms: D000293:Adolescent; D000552:Ambulances; D002056:Burns / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy; D003419:Crisis Intervention; D004189:Disaster Planning; D004190:Disasters; D004632:Emergency Medical Services / Q000458:organization & administration*; D005260:Female; D005390:Fires; D006801:Humans; D007899:Leisure Activities; D008297:Male; D015208:Smoke Inhalation Injury / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy; D012944:Social Support; D013548:Sweden / Q000453:epidemiology; D014218:Triage