Contemplating the Pentagon Attack After Five Years of Space and Time: Unheard Voices From the Ramparts of Our Burn Center

Jeng, James C.; Hollowed, K; Owen, Christine T.; Rizzo, Anne G.; Royce, Tammi; Sava, Jack; Andre, Arthur St.; White, Patricia; Light, Timothy D.; Jordan, Marion H.

doi:10.1097/01.bcr.0000235469.31294.32

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…[8][9][10][11][12][13][14][15][16][17] What began as bioterrorism, evolved into an all-hazards approach for medical disaster preparedness. [18][19][20] This included managing a surge of burn-injured patients as a critical component of overall medical disaster management preparedness.…”

Section: Introductionmentioning

confidence: 99%

Advanced Burn Life Support for Day-to-Day Burn Injury Management and Disaster Preparedness

Kearns

Hubble

Holmes

et al. 2015

Journal of Burn Care & Research

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Educational programs for clinicians managing patients with burn injuries represent a critical aspect of burn disaster preparedness. Managing a disaster, which includes a surge of burn-injured patients, remains one of the more challenging aspects of disaster medicine. During a 6-year period that included the development of a burn surge disaster program for one state, a critical gap was recognized as public presentations were conducted across the state. This gap revealed an acute and greater than anticipated need to include burn care education as an integral part of comprehensive burn surge disaster preparedness. Many hospital and prehospital providers expressed concern with managing even a single, burn-injured patient. While multiple programs were considered, Advanced Burn Life Support (ABLS), a national standardized educational program was selected to help address this need. The curriculum includes initial care for the burn-injured patient as well as an overview of the burn centers role in the disaster preparedness community. After 4 years and 56 classes conducted across the state, a survey was developed including a section that measured the perceptions of those who completed the ABLS educational program. The study specifically examines questions including whether clinicians perceived changes in their burn care knowledge, skills and abilities, and burn disaster preparedness following completion of the program? including whether clinicians.

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Section: Introductionmentioning

confidence: 99%

Advanced Burn Life Support for Day-to-Day Burn Injury Management and Disaster Preparedness

Kearns

Hubble

Holmes

et al. 2015

Journal of Burn Care & Research

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“…Historically burn disasters have created staffing instability, and it was essential to keep the staffing hours reasonably distributed to avoid this problem experienced by others. 43 …”

Section: Activity At the Burn Centermentioning

confidence: 99%

“…The long-term impact on staff following large disasters has been discussed before and remains an important consideration when weighing the need to keep or transfer patients in the hours and days following a burn disaster. 34,43 Nursing, respiratory, and other support staff were asked to discuss splitting shifts and surging to assure coverage during the days and weeks that would follow the surge of patients. Historically burn disasters have created staffing instability, and it was essential to keep the staffing hours reasonably distributed to avoid this problem experienced by others.…”

Section: Activity At the Burn Centermentioning

confidence: 99%

Hospital Bioterrorism Planning and Burn Surge

Kearns¹,

Myers²,

Cairns³

et al. 2014

Biosecurity and Bioterrorism: Biodefense Strategy, Practice, an

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On the morning of June 9, 2009, an explosion occurred at a manufacturing plant in Garner, North Carolina. By the end of the day, 68 injured patients had been evaluated at the 3 Level I trauma centers and 3 community hospitals in the Raleigh/Durham metro area (3 people who were buried in the structural collapse died at the scene). Approximately 300 employees were present at the time of the explosion, when natural gas being vented during the repair of a hot water heater ignited. The concussion from the explosion led to structural failure in multiple locations and breached additional natural gas, electrical, and ammonia lines that ran overhead in the 1-story concrete industrial plant. Intent is the major difference between this type of accident and a terrorist using an incendiary device to terrorize a targeted population. But while this disaster lacked intent, the response, rescue, and outcomes were improved as a result of bioterrorism preparedness. This article discusses how bioterrorism hospital preparedness planning, with an all-hazards approach, became the basis for coordinated burn surge disaster preparedness. This real-world disaster challenged a variety of systems, hospitals, and healthcare providers to work efficiently and effectively to manage multiple survivors. Burn-injured patients served as a focus for this work. We describe the response, rescue, and resuscitation provided by first responders and first receivers as well as efforts made to develop burn care capabilities and surge capacity. A t 11:27 a.m. on June 9, 2009, the first of many 911 calls began flooding the emergency communications center. The calls for help described an explosion at an industrial plant in Garner, North Carolina, a town in Wake County near Raleigh. Approximately 300 employees had reported for work that morning. By the end of the day, 3 were dead and 68 injured (another patient would succumb to his injuries months later).An investigation concluded that the explosion resulted from a gas leak. Once the gas leak found an ignition source, DOI: 10.1089DOI: 10. /bsp.2013 the ensuing conflagration and explosion sent a shock wave through the concrete building, causing exterior walls to collapse, crushing cars parked next to the building, and blowing large holes in the ceiling. As these walls and ceiling sections collapsed, they ripped open additional supply lines of gas and ammonia and exposed electrical lines in multiple sections of the building, culminating in a horrific and deadly scene.and Bioterrorism: Biodefense Strategy, Practice, and Science Volume 12, Number 1, 2014 ª Mary Ann Liebert, Inc.The subsequent investigation concluded there had been no purposeful intent, and terrorism was ruled out. Nevertheless, one method of terrorizing a population is to purposefully explode an incendiary device to injure, mutilate, and kill people and to destroy buildings and infrastructure. 1 While this disaster lacked purposeful intent, the response, rescue, and outcomes reflected many of the efforts of the past decade in which terrorism and b...

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Examining disaster planning models for large scale burn incidents—A theoretical plane crash into a high rise building

Weissman

Israeli

Rosengard

et al. 2013

Burns

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Contemplating the Pentagon Attack After Five Years of Space and Time: Unheard Voices From the Ramparts of Our Burn Center

Abstract: Marking the fifth year after the attack on the Pentagon, staff at the burn center in Washington, DC, memorialize in a contemplative frame of mind. These reflections are drawn from members of the extended burn team and render an interwoven sketch in prose that previously has not been heard.

Cited by 4 publications

References 12 publications

Advanced Burn Life Support for Day-to-Day Burn Injury Management and Disaster Preparedness

Advanced Burn Life Support for Day-to-Day Burn Injury Management and Disaster Preparedness

Hospital Bioterrorism Planning and Burn Surge

Examining disaster planning models for large scale burn incidents—A theoretical plane crash into a high rise building

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