Anantharaman V
Department of Accident & Emergency Medicine, Singapore General Hospital.
Ann Acad Med Singap. 1992 Sep;21(5):635-9.
Many agents that are encountered daily are liable to cause burns mass disasters. These include flames, hot water and steam, combustible gases and liquids, molten liquids, boiling liquid expanding vapour explosion, chemicals and explosives. They result in disaster when certain lacks in safety occur. The proper management of such burns victims begins with rescue. At the disaster site, triage is important to separate the living from the dead, decide on priorisation for initial treatment and then evacuation to an appropriate facility. Proper management requires team effort and should be continued en-route to hospital. Repeat triage and use of clear guidelines in the Emergency Department ensure optimal and rapid care of the casualties. Finally psychological support for victims, relatives, rescuers and health workers must not be forgotten.
日常遇到的许多因素都可能导致大规模烧伤灾难。这些因素包括火焰、热水和蒸汽、可燃气体和液体、熔融液体、沸腾液体膨胀蒸汽爆炸、化学品和爆炸物。当出现某些安全漏洞时，就会导致灾难。对此类烧伤受害者的妥善处理始于救援。在灾难现场，进行伤员分类对于区分生者与死者、确定初始治疗的优先级，然后将伤者疏散到合适的医疗机构非常重要。妥善处理需要团队协作，并且在送往医院的途中应持续进行。在急诊科重复进行伤员分类并遵循明确的指导方针，可确保对伤员进行最佳和快速的救治。最后，绝不能忘记对受害者、其亲属、救援人员和医护人员提供心理支持。
