Coping with a Mass Casualty

Insights into a Hospital's Emergency Response and Adaptations after the Formosa Fun Coast Dust Explosion

Sheuwen Chuang, David D. Woods, Hsien Wei Ting, Richard I. Cook, Jiin Chyr Hsu

Research output: Contribution to journalArticle

Abstract

Objective:The study provides a comprehensive insight into how an initial receiving hospital without adequate capacity adapted to coping with a mass casualty incident after the Formosa Fun Coast Dust Explosion (FFCDE).Methods:Data collection was via in-depth interviews with 11 key participants. This was combined with information from medical records of FFCDE patients and admission logs from the emergency department (ED) to build a detailed timeline of patients flow and ED workload changes. Process tracing analysis focused on how the ED and other units adapted to coping with the difficulties created by the patient surge.Results:The hospital treated 30 victims with 36.3% average total body surface area burn for over 5 hours alongside 35 non-FFCDE patients. Overwhelming demand resulted in the saturation of ED space and intensive care unit beds, exhaustion of critical materials, and near-saturation of clinicians. The hospital reconfigured human and physical resources differently from conventional drills. Graphical timelines illustrate anticipatory or reactive adaptations. The hospital's ability to adapt was based on anticipation during uncertainty and coordination across roles and units to keep pace with varying demands.Conclusion:Adapting to beyond-surge capacity incident is essential to effective disaster response. Building organizational support for effective adaptation is critical for disaster planning.

Original languageEnglish
JournalDisaster Medicine and Public Health Preparedness
DOIs
Publication statusAccepted/In press - Jan 1 2019

Fingerprint

Mass Casualty Incidents
Explosions
Dust
Taiwan
Hospital Emergency Service
Emergencies
Surge Capacity
Disaster Planning
Mandrillus
Patient Admission
Body Surface Area
Disasters
Workload
Uncertainty
Medical Records
Intensive Care Units
Interviews
TimeLine

Keywords

  • disaster planning
  • emergency response
  • Formosa Fun Coast Dust Explosion
  • mass casualty incident

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Coping with a Mass Casualty : Insights into a Hospital's Emergency Response and Adaptations after the Formosa Fun Coast Dust Explosion. / Chuang, Sheuwen; Woods, David D.; Ting, Hsien Wei; Cook, Richard I.; Hsu, Jiin Chyr.

In: Disaster Medicine and Public Health Preparedness, 01.01.2019.

Research output: Contribution to journalArticle

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