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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 onAdmission ofMultiple Major Burns PatientsBy COC(Surgery)
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
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
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
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
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.
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
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