Management of Major Burns in 37 Casualties of a Colored Powder Explosion: Experience of the Linkou Burn Center in Taiwan

• Published in: Annals of plastic surgery Vol. 82; no. 5; p. 512
• Main Authors: Chen, Hung-Chang, Wu, Katie P, Yen, Cheng-I, Hsiao, Yen-Chang, Yang, Shih-Yi, Yang, Jui-Yung, Chang, Shu-Yin, Chuang, Shiow-Shuh
• Format: Journal Article
• Language: English
• Published: United States 01.05.2019
• Subjects: Adolescent; Adult; Blast Injuries - classification; Blast Injuries - mortality; Blast Injuries - surgery; Burn Units; Burns, Chemical - classification; Burns, Chemical - mortality; Burns, Chemical - surgery; Cross-Sectional Studies; Explosions; Female; Humans; Injury Severity Score; Male; Mass Casualty Incidents; Pain Management; Powders - adverse effects; Retrospective Studies; Survival Rate; Taiwan; Taiwan
• ISSN: 1536-3708
• DOI: 10.1097/SAP.0000000000001928

On June 27, 2015, a colored powder explosion occurred in Taiwan. As a result, 499 people were injured, and over 200 people were in critical condition because of severe burns. Forty-nine casualties were transported to the Chang Gung Memorial Hospital. We undertook a single-center retrospective observational study using clinical data for 37 patients with major burns with more than 20% total burn surface area (TBSA). We describe the experience of managing patients with acute burn injuries in these patients. Patient-specific data were analyzed and expressed as mean ± standard deviation. Thirty-seven major burn patients were admitted to our hospital. The mean ± SD age was 22.5 ± 5 years. The mean ± SD TBSA was 48.9% ± 20%. All patients were stabilized within 6 hours after admission, and no patient experienced hypothermia or hypovolemia. We performed 95 debridement procedures and 88 skin grafts. A mean of 5.6 surgeries were performed for each patient. The mean ± SD hospital stay was 62 ± 32 days. The ratio for hospital days/%TBSA was 1.36, and hospital charges/hospital days ratio was US $973 a day for surviving patients. Two mortalities (2/37, 5.4%) were reported: one was related to cardiac insult, and another was caused by sepsis. We share our experience in managing 37 major burn patients in a colored powder explosion to improve the holistic care in modern mass burn casualties. Aggressive early debridement and skin grafting reduced hospital stay and costs.