• Bruce A Cairns, Arvilla Stiffler, Fred Price, Michael D Peck, and Anthony A Meyer.
• North Carolina Jaycee Burn Center and Department of Surgery, University of North Carolina, Chapel Hill, North Carolina 27514, USA.
• J Burn Care Rehabil. 2005 Mar 1;26(2):144-50.

AbstractAt 1:37 pm on January 29, 2003, an explosion occurred at the West Pharmaceutical chemical plant in Kinston, North Carolina. The explosion killed three people at the scene and resulted in more than 30 admissions to area hospitals. The disaster resulted in 10 critically ill burn patients, who were all intubated with inhalation injuries, many with combined burn and trauma injuries. All 10 critically injured patients were admitted to a tertiary care facility 100 miles away with both a Level I trauma center and a verified burn center. Ultimately, 7 of 10 patients survived (a mortality rate of 30%), and none were transferred to another trauma or burn center. This article analyzes the unique challenges that combined burn and trauma patients present during a disaster, critically examines the response to this disaster, describes lessons learned, and presents recommendations that may improve the response to such disasters in the future.

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