[Treatment of mass burns].
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.


CONCLUSIONS
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.
Zhou
Y
Y
Nanfang Hospital Burn Unit, 1st Military Medical University, Guangzhou, 510515.
D000293:Adolescent; D000328:Adult; D002056:Burns / Q000601:surgery / Q000628:therapy*; D002059:Burns, Inhalation / Q000601:surgery / Q000628:therapy*; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D008297:Male; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000628:therapy; D012774:Shock, Traumatic / Q000188:drug therapy*; D014140:Tracheotomy