Abstract
Purpose: This report aims to review the orthopaedic doctor's experiences and to provide insight for the formulation of response measures for similar incidents in the future.We further report on our orthopaedic surgery disaster management and lessons learnt
 Methodology: A retrospective review of orthopaedic patients who were admitted at Chris Hani Baragwanath academic hospital (CHBAH) from the 01 April to 30 April 2021, the month of the fire incident. Data were obtained from the hospital casualty, inpatient registers, and outpatient registers. Data were compared before and after the fire incident.
 Findings: Transfer was provided to 51 patients to CHBAH orthopaedic emergency unit. Forty-three (84.3%) were adult patients and eight (15.7%) were paediatric patients. There were fewer daily admissions to orthopaedic emergency unit in the last 15 days of the month of the disaster compared to the first 15 days, when the 51 cases from Charlotte Maxeke Johannesburg Academic Hospital (CMJAH) were excluded (mean: 12.89 versus 13.26). The orthopaedic outpatient department doctor to patient ratio improved after the fire incident.
 Recommendation: The four phases’ disaster approach- preparedness, response, recovery and mitigation remain applicable to disaster management. Planning for emergencies the dedication of orthopaedic professionals and hospital employees can all contribute to the highest quality patient care.
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