Hospital bioterrorism planning and burn surge

Randy D. Kearns, Brent Myers, Charles B. Cairns, Preston B. Rich, Charles Hultman, Anthony G. Charles, Samuel W. Jones, Grace L. Schmits, Mary Beth Skarote, James H. Holmes, Bruce A. Cairns

Research output: Contribution to journalArticle

Abstract

On the morning of June 9, 2009, an explosion occurred at a manufacturing plant in Garner, North Carolina. By the end of the day, 68 injured patients had been evaluated at the 3 Level I trauma centers and 3 community hospitals in the Raleigh/Durham metro area (3 people who were buried in the structural collapse died at the scene). Approximately 300 employees were present at the time of the explosion, when natural gas being vented during the repair of a hot water heater ignited. The concussion from the explosion led to structural failure in multiple locations and breached additional natural gas, electrical, and ammonia lines that ran overhead in the 1-story concrete industrial plant. Intent is the major difference between this type of accident and a terrorist using an incendiary device to terrorize a targeted population. But while this disaster lacked intent, the response, rescue, and outcomes were improved as a result of bioterrorism preparedness. This article discusses how bioterrorism hospital preparedness planning, with an all-hazards approach, became the basis for coordinated burn surge disaster preparedness. This real-world disaster challenged a variety of systems, hospitals, and healthcare providers to work efficiently and effectively to manage multiple survivors. Burn-injured patients served as a focus for this work. We describe the response, rescue, and resuscitation provided by first responders and first receivers as well as efforts made to develop burn care capabilities and surge capacity.

Original languageEnglish (US)
Pages (from-to)20-28
Number of pages9
JournalBiosecurity and Bioterrorism
Volume12
Issue number1
DOIs
StatePublished - Feb 1 2014
Externally publishedYes

Fingerprint

hospital planning
Bioterrorism
Hospital Planning
bioterrorism
Explosions
Disasters
Natural Gas
explosion
disaster
natural gas
Planning
Natural gas
Surge Capacity
Resuscitation
industrial plant
hospital system
Water heaters
Trauma Centers
Community Hospital
Burns

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Management, Monitoring, Policy and Law

Cite this

Kearns, R. D., Myers, B., Cairns, C. B., Rich, P. B., Hultman, C., Charles, A. G., ... Cairns, B. A. (2014). Hospital bioterrorism planning and burn surge. Biosecurity and Bioterrorism, 12(1), 20-28. https://doi.org/10.1089/bsp.2013.0065

Hospital bioterrorism planning and burn surge. / Kearns, Randy D.; Myers, Brent; Cairns, Charles B.; Rich, Preston B.; Hultman, Charles; Charles, Anthony G.; Jones, Samuel W.; Schmits, Grace L.; Skarote, Mary Beth; Holmes, James H.; Cairns, Bruce A.

In: Biosecurity and Bioterrorism, Vol. 12, No. 1, 01.02.2014, p. 20-28.

Research output: Contribution to journalArticle

Kearns, RD, Myers, B, Cairns, CB, Rich, PB, Hultman, C, Charles, AG, Jones, SW, Schmits, GL, Skarote, MB, Holmes, JH & Cairns, BA 2014, 'Hospital bioterrorism planning and burn surge', Biosecurity and Bioterrorism, vol. 12, no. 1, pp. 20-28. https://doi.org/10.1089/bsp.2013.0065
Kearns RD, Myers B, Cairns CB, Rich PB, Hultman C, Charles AG et al. Hospital bioterrorism planning and burn surge. Biosecurity and Bioterrorism. 2014 Feb 1;12(1):20-28. https://doi.org/10.1089/bsp.2013.0065
Kearns, Randy D. ; Myers, Brent ; Cairns, Charles B. ; Rich, Preston B. ; Hultman, Charles ; Charles, Anthony G. ; Jones, Samuel W. ; Schmits, Grace L. ; Skarote, Mary Beth ; Holmes, James H. ; Cairns, Bruce A. / Hospital bioterrorism planning and burn surge. In: Biosecurity and Bioterrorism. 2014 ; Vol. 12, No. 1. pp. 20-28.
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