title: [Implementation of "four-early principle" to raise the successful rate in mass burn casualties].
abstract: OBJECTIVE
  To evaluate the feasibility and result of "four-early principle" in the treatment of mass burn casualties.
  
  
  METHODS
  During the last 12 years, a total of 155 burn patients were admitted in 18 groups, and the following principles were implemented; early rapid fluid resuscitation during shock stage for delayed resuscitation patients; early tracheostomy to assist air passage humidification and lavation for moderate and severe inhalation injury; planning escharectomy and grafting during shock stage in patients with extensive deep burns; emphasizing early stage enteral nutritional support.
  
  
  RESULTS
  The successful rate of treatment was raised, and the incidence of complications decreased in mass casualties with serious burn after implementing early stage treatment principles.
  
  
  CONCLUSIONS
  The application of "four-early principle" on the treatment of mass burn casualties is feasible and effective.
authors.affiliation: Department of Burns, 175th Hospital of People's Liberaton Army, Zhangzhou 363000.
authors.forename: Q
authors.initials: Q
authors.lastname: Zheng
authors.forename: S
authors.initials: S
authors.lastname: Cai
authors.forename: J
authors.initials: J
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002056:Burns / Q000601:surgery / Q000628:therapy*; D002059:Burns, Inhalation / Q000601:surgery / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D004750:Enteral Nutrition; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D012774:Shock, Traumatic / Q000188:drug therapy*; D014140:Tracheotomy