@article{ref1,
title="Management of major burns in 37 casualties of a colored powder explosion: experience of the Linkou Burn Center in Taiwan",
journal="Annals of plastic surgery",
year="2019",
author="Chen, Hung-Chang and Wu, Katie P. and Yen, Cheng-I and Hsiao, Yen-Chang and Yang, Shih-Yi and Yang, Jui-Yung and Chang, Shu-Yin and Chuang, Shiow-Shuh",
volume="82",
number="5",
pages="512-519",
abstract="BACKGROUND: 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. <br><br>METHODS: 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. <br><br>RESULTS: 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. <br><br>CONCLUSIONS: 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.<p /> <p>Language: en</p>",
language="en",
issn="0148-7043",
doi="10.1097/SAP.0000000000001928",
url="http://dx.doi.org/10.1097/SAP.0000000000001928"
}