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Proposal on HA Response Plan on Admission of Multiple Major Burns Patients By COC(Surgery)

Proposal on HA Response Plan on Admission of Multiple Major Burns Patients By COC(Surgery). Disasters with major burn victims. Vegetation fire. Service Networking of Burn Services. Burn units : Major burns PWH QMH Burn facilities : Moderate-sized or complex burns KWH RH QEH TMH

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Proposal on HA Response Plan on Admission of Multiple Major Burns Patients By COC(Surgery)

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  1. Proposal on HA Response Plan onAdmission ofMultiple Major Burns PatientsBy COC(Surgery)

  2. Disasters with major burn victims

  3. Vegetation fire

  4. Service Networking of Burn Services • Burn units : Major burns • PWH • QMH • Burn facilities : Moderate-sized or complex burns • KWH • RH • QEH • TMH • General Surgical / O&T /AED: Minor Burns

  5. Burn Facility / Burn Unit • Multi-specialty Burn Management Committee (A&E, ICU, O&T, 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

  6. 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

  7. admission of 4 or more major burn patients in a disaster Hospitals (would be AED mostly) to inform HODOs; OR HODO to inform hospitals Response Plan forMultiple Major Burns PatientsApplicability

  8. Definition of Major Burns • Total Body Areas (TBA) • > 20% for adultOR • > 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.

  9. 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

  10. Networking

  11. The End Thank you

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