Victorian Adult Burns Service, The Alfred Hospital, Melbourne, VIC. J.WasiakATalfred.org.au
Med J Aust. 2011 Jun 6;194(11):589-93. doi: 10.5694/j.1326-5377.2011.tb03110.x.
To describe the characteristics of patients with burn injury admitted to a major trauma hospital in Melbourne following the Black Saturday bushfires of 7 February 2009, and to provide a detailed analysis of the hospital's response to the crisis.
DESIGN, SETTING AND PARTICIPANTS: A retrospective chart review of ambulance and hospital records of patients admitted to the Victorian Adult Burns Service (VABS) at The Alfred Hospital (The Alfred) following the bushfires.
Patient characteristics and outcomes: age, sex, total and full thickness body surface area burnt, type and site of burn, hospital and intensive care unit length of stay (LOS) and receipt of standard burn care practices. Estimated glomerular filtration rate, theatre time and LOS data for the bushfire cohort compared with corresponding data for historical cohorts from VABS and from a similar institution in New Zealand.
Nineteen patients were admitted to VABS over the first 48 hours after the bushfires. Of these, nine patients were subsequently admitted to The Alfred's intensive care unit. Most patients (74%) were men with a mean age of 52.7 years (SD, 12.4 years). Seventeen patients (89%) underwent at least one surgical procedure, which resulted in 4355 minutes of theatre time for the bushfire cohort in the first week. Hospital LOS was similar for the bushfire and New Zealand cohorts. Compared with the VABS historical cohort, there was a higher incidence of abnormal renal function among the bushfire cohort patients.
Although relatively few patients with severe burns were admitted to VABS, significant increases in resource allocation were required to manage them in terms of additional theatre time, consumables and staffing. The experience of VABS may aid planning for future mass burns casualty events.
描述 2009 年 2 月 7 日“黑色星期六”丛林大火后，在墨尔本一家主要创伤医院收治的烧伤患者的特点，并详细分析医院对这场危机的应对措施。
设计、地点和参与者：对在丛林大火后入住维多利亚成人烧伤服务中心（VABS）的在阿尔弗雷德医院（The Alfred）的患者的救护车和医院记录进行回顾性图表审查。
患者特征和结局：年龄、性别、烧伤的总体表和全层体表面积、烧伤类型和部位、医院和重症监护病房的住院时间（LOS）以及接受标准烧伤护理的情况。烧伤患者队列的估算肾小球滤过率、手术室时间和 LOS 数据与 VABS 和新西兰类似机构的历史队列的相应数据进行比较。
大火后 48 小时内，有 19 名患者被收入 VABS。其中，9 名患者随后被收入阿尔弗雷德重症监护病房。大多数患者（74%）为男性，平均年龄为 52.7 岁（标准差为 12.4 岁）。17 名患者（89%）至少接受了一次手术，在第一周，烧伤患者队列的手术室时间达到 4355 分钟。烧伤和新西兰队列的住院 LOS 相似。与 VABS 历史队列相比，烧伤患者队列的肾功能异常发生率更高。
尽管只有相对较少的严重烧伤患者被收入 VABS，但为了管理他们，需要在手术室时间、耗材和人员配备方面增加大量资源。VABS 的经验可能有助于为未来的大规模烧伤伤亡事件做好规划。
