Proposal on HA Response Plan on Admission of Multiple Major Burns Patients By COCSurgery

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Proposal on HA Response Plan onAdmission
ofMultiple Major Burns PatientsBy COC(Surgery)
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Disasters with major burn victims
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Vegetation fire
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Service Networking of Burn Services

• Burn units Major burns
• PWH
• QMH
• Burn facilities Moderate-sized or complex burns
• KWH
• RH
• QEH
• TMH
• General Surgical / OT /AED Minor Burns

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Burn Facility / Burn Unit

• Multi-specialty Burn Management Committee (AE,
  ICU, OT, Plastic Surgery others) to govern the
  development of burn management policy
• Director of Burn Unit / Facility
• Overall responsibility
• administrative clinical management of burn
  patients
• coordinate transfer of burn patients
• Commitment to receive patients in particular
  those requiring intensive care

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Commitment to receive patients

• Burn Units/Facilities have obligation to accept
  all burn referrals from
• all hospitals not designated as a Burn
  Unit/Facility
• Burn Facilities (for Burn Units)
• Cross-territory/centre referrals requiring
  intensive care
• the hospitals with the designated Burn Units
  should accord high priority to ensure
  availability of ICU support

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Response Plan forMultiple Major Burns
PatientsApplicability

• admission of 4 or more major burn patients in a
  disaster
• Hospitals (would be AED mostly) to inform HODOs
  OR
• HODO to inform hospitals

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Definition of Major Burns

• Total Body Areas (TBA)
• gt 20 for adult OR
• gt 10 for child
• Burns associated with inhalational injury
  requiring ICU admission
• Burns which have major functional and/or cosmetic
  implications
• Burns in patients with significant pre-existing
  medical disorders, which could complicate
  management, prolong recovery or affect mortality

Note It is the responsibility for the Director
of Burn Unit to confirm / arrange for transfer,
or otherwise.
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Role of coordinators

• HODOs or MCO
• monitor number of patients severity of
  conditions
• Hospital Civil Disaster Coordinator
• Inform Director of Burn Units
• Arrange transfer
• Inform HODOs or MCO
• Director of Burn Unit
• check history/severity of burns with Emergency
  Physician/Surgeon
• give advice arrange transfer
• liaise with ICU of own hospital
• HCE of the Burn Unit should assist if required

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Networking
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• The End
• Thank you