title: District of Columbia Emergency Healthcare Coalition Burn Mass Casualty Plan: Development to Exercise Date.
abstract: The District of Columbia Emergency Healthcare Coalition (DC EHC) brought together a Burn Task Force to tackle the issue of mass burn care in a metropolitan area in light of limited local burn center resources. This article outlines the development of the mass burn care plan. Using a tiered treatment approach, mass burn victims would be transported first to burn centers within the area, followed by nonburn center trauma centers, and finally to nonburn and nontrauma center acute care facilities. Once activated the Burn Task Force would triage and coordinate transfer of mass burn patients within the District for further care at burn centers using a strong link with the Eastern Regional Burn Disaster Consortium. This plan was exercised in the spring of 2014 to test all of the components. To strengthen mass burn care, this plan, put in place for the District of Columbia, has been expanded to include the National Capital Region as well.
authors.affiliation: From the *George Washington University, District of Columbia; †MedStar Washington Hospital Center, District of Columbia; ‡Director Institute for Public Health Emergency Readiness, Washington, District of Columbia; §MedStar Health, Columbia, Maryland; ‖Administrator DC Emergency Health Care Coalition, Washington, District of Columbia; ¶Burn Community Outreach Director, The Burn Center at Saint Barnabas, Livingston, New Jersey; #MGUH Hospital Emergency Manager, MedStar Georgetown University Hospital, Washington, District of Columbia; and **Mount Sinai Health Care System, New York, New York.
authors.forename: Bruno
authors.initials: B
authors.lastname: Petinaux
authors.forename: Andrea L
authors.initials: AL
authors.lastname: Valenta
authors.forename: Craig
authors.initials: C
authors.lastname: Deatley
authors.forename: Kathe M
authors.initials: KM
authors.lastname: Conlon
authors.forename: James D
authors.initials: JD
authors.lastname: Ott
authors.forename: James C
authors.initials: JC
authors.lastname: Jeng
mesh_terms: D026683:Advisory Committees; D002053:Burn Units / Q000458:organization & administration; D002056:Burns / Q000453:epidemiology / Q000628:therapy*; D004189:Disaster Planning / Q000458:organization & administration*; D004219:District of Columbia; D005260:Female; D006265:Health Care Coalitions / Q000458:organization & administration*; D006295:Health Resources; D006801:Humans; D008297:Male; D054527:Mass Casualty Incidents / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D014193:Trauma Centers / Q000458:organization & administration*; D014218:Triage