Cassuto Jean, Tarnow Peter
Department of Intensive Care, Sahlgrenska University Hospital, MöIndal, Sweden.
Burns. 2003 Aug;29(5):405-16. doi: 10.1016/s0305-4179(03)00074-3.
The fire disaster in Gothenburg, Sweden, 1998 killing 63 and wounding 213 teenagers was caused by arson committed by a youth from the same community. The fire was started in the basement of an overcrowded discotheque and made, due to unfortunate circumstances, devastating progress. The ensuing rescue work performed by other youth, fire fighters, police and medical staff was prompt and must be seen in the light of a very difficult situation. As a result of these orchestrated efforts and the fact that this disaster occurred in a major city with substantial resources, all the injured were able to be hospitalized within 2h. The load on four local hospitals was initially severe due to the large number of injured and the limited number of staff on night duty. The situation was contained by relocating patients from the intensive care units to ordinary wards and by transporting several of the most severe burn injuries by helicopter to burn units in other parts of Sweden and to Norway. Hundreds of relatives and friends gathered at the local hospitals. This was a new experience for the hospitals and staff, involving many positive aspects as well as some negative aspects such as violence, threats and rumors. As a result of the large number of injuries vast psychosocial rehabilitation program was initiated by health care staff, religious communions, schools and the community, has continued over the past years. Such a disaster emphasises a requirement for extensive preparation not only in the rescue and medical services, but also in the ways and areas to rehabilitate patients in society.
1998年,瑞典哥德堡发生火灾,造成63名青少年死亡,213人受伤,火灾系一名来自同一社区的青年纵火所致。火灾发生在一家过度拥挤的迪斯科舞厅地下室,由于一些不幸的情况,火势迅速蔓延,造成了毁灭性后果。随后,其他青年、消防员、警察和医护人员迅速展开救援工作,而当时的情况非常艰难。由于各方齐心协力,加之这场灾难发生在资源丰富的大城市,所有伤者都在两小时内被送往医院救治。最初,四家当地医院负担沉重,因为伤者众多,而夜间值班人员有限。通过将重症监护病房的患者转移到普通病房,并使用直升机将几名伤势最严重的烧伤患者转送到瑞典其他地区和挪威的烧伤病房,情况得到了控制。数百名亲属和朋友聚集在当地医院。这对医院和工作人员来说是一次全新的经历,既带来了许多积极方面,也出现了一些消极方面,如暴力、威胁和谣言。由于伤者众多,医护人员、宗教团体、学校和社区启动了大规模的心理社会康复项目,该项目在过去几年一直在持续进行。这样的灾难凸显了不仅在救援和医疗服务方面,而且在患者重返社会的方式和领域都需要进行广泛准备的必要性。