On Saturday 13 May, 2000 at about 15:30 h, the Dutch city of Enschede was struck by the explosion of a midtown firework depot. Twenty-two @entity1 were killed and almost 1,000 @entity1 were wounded. A complete district with 1,000 houses was destroyed. In total, 527 victims were treated in one of the regional hospitals, 76 (14%) of whom were admitted and 451 (84%) were treated as outpatients. Of the clinically treated victims, 11 @entity1 were triaged as T1 and needed immediate intervention, 63 @entity1 were triaged as T2 where treatment within six hours was indicated, and two T3 @entity1 did not need urgent treatment. The outpatients mainly suffered secondary blast injuries to the head and extremities due to flying debris. Of the 11 T1 @entity1 , 10 underwent acute surgery; intervention radiology was performed in one @entity1 . The injuries of the severely wounded T1 @entity1 consisted of penetrating @entity1514 , abdominal and skull injuries, as well as blunt @entity4422 . Two @entity1 from the disaster area underwent acute vascular surgery for acutely burst @entity449 . The in-hospital @entity130 care was characterised by the spontaneous arrival of a large number of extra medical personnel. The regional distribution of the @entity130 @entity1 was adequate. The regional capacity of the emergency rooms, IC-units and operating facilities proved to be sufficient. Routing of lightly-wounded @entity1 was found to be important. The communication in all phases of the disaster management appeared to be poorly structured. CONCLUSION: During the initial @entity130 care, the routing of vast numbers of ambulant, lightly-wounded @entity1 , as well as extra doctors and nurses, needs careful planning.

[Local and regional in-hospital XXXX care following fireworks depot explosion in Enschede].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'people'] @entity449 :: ('MESH:D001014', 'Disease') :: ['aortic aneurysms'] @entity4422 :: ('MESH:D005597', 'Disease') :: ['abdominal trauma and compound fractures'] @entity1514 :: ('MESH:D013896', 'Disease') :: ['thoracic'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity130 :: (MESH:D014947,Disease) :: ['trauma']
