PURPOSE: This retrospective study reports the outcome of a @entity3928 ( @entity3928 ) caused by a fire in a nursing home. METHODS: Data from the medical charts and registration system of the Major Incident Hospital (MIH) and ambulance service were analyzed. The evaluation reports from the MIH and an independent research institute were used. The protocol for reports from major accidents and disaster was used to standardize the reporting [Lennquist, in Int J Disaster Med 1(1):79-86, 2003]. RESULTS: The emergency services were quickly at the scene. The different levels of pre-hospital management performed a tight coordination. However, miscommunication led to @entity911 in the registration and tracking of @entity1 . In total, 49 @entity1 needed medical treatment, 46 were treated in the MIH. Because of (possible) @entity130 nine @entity1 needed mechanical ventilation and nine @entity1 were hospitalized to exclude delayed onset of @entity358 . No incident related @entity204 occurred. The intensive care unit of the MIH was initially understaffed despite the efforts of the automated calling system and switchboard operators. The handwritten registration of incoming staff was incomplete and should be performed digitally. Some staff members were unfamiliar with the MIH procedures. The medical chart appeared too extensive. Miscommunication between chain partners resulted in the delayed sharing of (semi) medical information. CONCLUSION: The different levels of incident managers performed a tight coordination. The MIH demonstrated its potency to provide emergency care for 46 @entity1 and 9 intubated @entity1 . No @entity204 or persistent disabilities occurred. Areas of improvement were recognized both in the pre-hospital as the hospital phase.

Indoor fire in a nursing home: evaluation of the medical response to a XXXX based on a standardized protocol.

@entity1 :: ('9606', 'Species') :: ['patients', 'persons'] @entity3928 :: ('MESH:C536030', 'Disease') :: ['mass casualty incident', 'MCI'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary symptoms'] @entity911 :: ('MESH:D003221', 'Disease') :: ['confusion'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths'] @entity130 :: ('MESH:D014947', 'Disease') :: ['inhalation injury']
@entity3928 :: (MESH:C536030,Disease) :: ['mass casualty incident']
