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J Korean Soc Emerg Med > Volume 29(2); 2018 > Article
Journal of The Korean Society of Emergency Medicine 2018;29(2): 188-196.
화학사고로 인한 다수사상자 발생 사고의 특성: 사례군 연구
김솔아1,2 , 박정호1,3 , 박주옥1,4 , 홍기정1,5 , 최동선1,3 , 김태한1,5 , 정주1,2 , 송성욱1,6 , 송경준1,3 , 신상도1,3
1서울대학교 의생명연구원 응급의료연구실
2분당서울대학교병원 응급의학과
3서울대학교병원 응급의학과
4한림대학교 동탄성심병원 응급의학과
5서울대학교 보라매병원 응급의학과
6제주대학교병원 응급의학과
Characteristics of mass casualty chemical incidents: a case series
Sola Kim1,2 , Jeong Ho Park1,3 , Ju Ok Park1,4 , Ki Jeong Hong1,5 , Dong Sun Choi1,3 , Tae Han Kim1,5 , Joo Jeong1,2 , Sung Wook Song1,6 , Kyoung Jun Song1,3 , Sang Do Shin1,3
1Laboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, Korea
2Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea
3Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea
4Department of Emergency Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea
5Department of Emergency Medicine, SMG-SNU Boramae Medical Center, Seoul, Korea
6Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea
Correspondence  Jeong Ho Park ,Tel: 02-2072-3257, Fax: 02-741-7855, Email: timthe@gmail.com,
Received: February 13, 2018; Revised: March 18, 2018   Accepted: March 21, 2018.  Published online: April 30, 2018.
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.
Method:
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.
Key words: Chemical hazard release; Mass casualty incidents; Emergency medical services
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