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Characteristics of mass casualty chemical incidents: a case series
Journal of the Korean Society of Emergency Medicine ; : 188-196, 2018.
Article in Korean | WPRIM | ID: wpr-714042
ABSTRACT

OBJECTIVE:

The aim of this study was to evaluate the characteristics of the emergency medical services (EMS) response and clinical information on mass casualty chemical incidents in Korea.

METHODS:

This retrospective observational study analyzed the integrated data of the EMS rescue records and EMS-treated severe trauma registry from January 2012 to December 2013. Two databases were integrated using the unique accident identification number. Chemical incidents were defined by an in-depth review of the EMS rescue records according to a previous study. Mass casualty incidents were defined as more than 6 injured individuals. The rescue, EMS, and hospital variables of mass casualty chemical incidents were analyzed.

RESULTS:

A total of 8 mass casualty chemical incidents and 73 patients were included. The mean responded rescue vehicles and EMS vehicles were 2.4 and 3.5, respectively. The 4 incidents were an oil spill due to traffic accidents and most patients suffered minor trauma. A carbon monoxide leak caused the largest number of patients (23 people). The explosion caused by flammable polyethylene leaks showed the highest severity. In that explosion, the mortality rate was 40% and 8 patients had a disability at discharge.

CONCLUSION:

This study evaluated the characteristics of the EMS response and clinical information on mass casualty chemical incidents in Korea.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Carbon Monoxide / Accidents, Traffic / Petroleum Pollution / Retrospective Studies / Mortality / Polyethylene / Emergency Medical Services / Explosions / Mass Casualty Incidents / Chemical Hazard Release Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: Asia Language: Korean Journal: Journal of the Korean Society of Emergency Medicine Year: 2018 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Carbon Monoxide / Accidents, Traffic / Petroleum Pollution / Retrospective Studies / Mortality / Polyethylene / Emergency Medical Services / Explosions / Mass Casualty Incidents / Chemical Hazard Release Type of study: Observational study / Prognostic study Limits: Humans Country/Region as subject: Asia Language: Korean Journal: Journal of the Korean Society of Emergency Medicine Year: 2018 Type: Article