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Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi · Jul 1999
[Implementation of "four-early principle" to raise the successful rate in mass burn casualties].
- Q Zheng, S Cai, and J Chen.
- Department of Burns, 175th Hospital of People's Liberaton Army, Zhangzhou 363000.
- Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1999 Jul 1; 15 (4): 247-9.
ObjectiveTo evaluate the feasibility and result of "four-early principle" in the treatment of mass burn casualties.MethodsDuring the last 12 years, a total of 155 burn patients were admitted in 18 groups, and the following principles were implemented; early rapid fluid resuscitation during shock stage for delayed resuscitation patients; early tracheostomy to assist air passage humidification and lavation for moderate and severe inhalation injury; planning escharectomy and grafting during shock stage in patients with extensive deep burns; emphasizing early stage enteral nutritional support.ResultsThe successful rate of treatment was raised, and the incidence of complications decreased in mass casualties with serious burn after implementing early stage treatment principles.ConclusionThe application of "four-early principle" on the treatment of mass burn casualties is feasible and effective.
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