Abstract
Royal Darwin Hospital (RDH) is recognised as Australia’s National Critical Care and Trauma Response Centre. RDH gained world recognition with its response to the 2002 Bali bombing where 61 patients were evacuated within 36 hours of the disaster, and 48 patients with severe burns were transferred to burns units all over Australia. In 2009-2010, RDH responded to 2 mass casualty disasters, the Ashmore Reef disaster in April 2009 and the TIO bombing in February 2010. In the Ashmore Reef disaster, 21 patients were evacuated to RDH, 17 of these were admitted with severe burns, and 5 required transfer. In the Territory Insurance Office (TIO) bombing, 13 patients attended the Emergency department, 4 required burn related admissions and all were treated at RDH. Eleven patients required ICU/HDU admissions and 30 burn-related operations were performed during both incidences. This paper reviews the response of a small remote burns service to mass casualties.
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