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Planning for major burns incidents by implementing an accelerated Delphi technique
Simon Carley1, Kevin Mackway-Jones, Luka Randic
1Department of Emergency Medicine, Manchester Royal Infirmary, Manchester, UK. s.carley@btinternet.com
Summary
This guide offers practical strategies for major burn incident planning and response. It covers prehospital to recovery care, emphasizing the critical secondary/tertiary care interface for improved outcomes.
Area of Science:
- Emergency Medicine
- Disaster Management
- Burn Care
Background:
- Major incidents involving mass casualties with burns present unique challenges.
- Effective planning and response are crucial for mitigating harm and optimizing patient outcomes.
- Existing guidance may not adequately address the complexities of large-scale burn events.
Purpose of the Study:
- To provide practical, evidence-based guidance for planning and responding to major incidents with numerous burn casualties.
- To enhance preparedness and coordination across all phases of incident management.
- To highlight critical areas for improvement in burn casualty care during mass casualty events.
Main Methods:
- Guidance developed based on findings from an expert Delphi study.
- Incorporates a systematic approach to incident management.
- Focuses on practical application for emergency planners and responders.
Main Results:
- Comprehensive guidance covers preparation, prehospital care, hospital care, and recovery phases.
- Specific emphasis on managing the secondary/tertiary care interface to address potential difficulties.
- Highlights the necessity of local adaptation and interpretation of guidelines.
Conclusions:
- The developed practical guide aims to significantly improve preparation and response to major burn incidents.
- Enhanced planning and coordinated response can lead to better patient survival and recovery.
- Standardized yet adaptable guidelines are essential for effective mass casualty burn management.