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Medical Response to the Tianjin Explosions: Lessons Learned

Published online by Cambridge University Press:  04 December 2017

Jin-Jun Zhang
Affiliation:
Beijing Emergency Medical Center, Beijing, China
Tian-Bing Wang
Affiliation:
Peking University People’s Hospital, Beijing, China
Da Fan
Affiliation:
Beijing Emergency Medical Center, Beijing, China
Jun Zhang
Affiliation:
Peking University Binhai Hospital, Tianjin, China
Bao-Guo Jiang*
Affiliation:
Peking University People’s Hospital, Beijing, China
*
Correspondence and reprint requests to Baoguo Jiang, MD, PhD, Peking University People’s Hospital, Beijing 100044, China (email: [email protected]).

Abstract

Background

On August 12, 2015, a hazardous chemical explosion occurred in the Tianjin Port of China. The explosions resulted in 165 deaths, 8 missing people, injuries to thousands of people. We present the responses of emergency medical services and hospitals to the explosions and summarize the lessons that can be learned.

Methods

This study was a retrospective analysis of the responses of emergency medical services and hospitals to the Tianjin explosions. Data on injuries, outcomes, and patient flow were obtained from the government and the hospitals.

Results

A total of 46 ambulances and 143 prehospital care professionals were dispatched to the scene, and 198 wounded were transferred to hospitals by ambulance. More than 4000 wounded casualties surged into hospitals, and 798 wounded were admitted. Both emergency medical services and hospitals were quick and successful in the early stage of the explosions. The strategy of 4 centralizations (4Cs) for medical services management in a mass casualty event was successfully applied.

Conclusions

The risk of accidental events has increased in recent years. We should take advantage of the lessons learned from the explosions and apply these in future disasters. (Disaster Med Public Health Preparedness. 2018; 12: 411–414)

Type
Report from the Field
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

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