NC Burn Surge Disaster Program

The Program is supported by an ASPR grant representing the US Department of Health and Human Services, and administered by the North Carolina Office of Emergency Medical Services.

This program is provided through a cooperative effort including the University of North Carolina School of Medicine, Wake Forest University Baptist Medical Center and the East Carolina School of Medicine.

North Carolina Burn Surge Disaster Program

www.ncburndisaster.org Last Updated: 11/11/09 http://twitter.com/ncburn

Welcome the website for the North Carolina Burn Surge Disaster Program.

The North Carolina Burn Surge Disaster Program is based upon the premise that historical catastrophic events have occurred and produced significant burn and blast injuries. Current burn beds are routinely running at capacity both within our state and across the nation. With the likelihood of these events occurring in the future, there is distinct necessity for better preparedness for these likely events.

For a flyer about the

NC Burn Surge Disaster Program

Click to download

Brochure in pdf format

News: When you finish with your review of the cover page, please follow the links below to see the latest/greatest versions of our EMS Treatment Protocols and considerations, as well as Burn Disaster Plans.

Please note, these protocols are Version 2.1 (October 3, 2008) and replace versions previously posted here.

Also, Version 2.1 (October 3, 2008) of the Burn Disaster Considerations are out (linked here) and your comments are welcomed.

ABLS Classes: Advanced Burn Life Support Classes will be offered throughout 2009-2010 through the NC Trauma Regional Advisory Committees.

Scroll down this page, dates and contact information is now posted where available.

For CME/CEU information as related to ABLS, click here.

A national byproduct of improved economic efficiency across all disciplines of medicine, is the lack of sufficient additional "soft space" or a surplus of onsite medical supplies. The "just in time" approach and the real-time staffing ratio approach has left little room for the surge of patients that are produced by a sudden disaster type event. Disasters that produce burn and blast injuries will quickly overwhelm the existing healthcare system and particularly the designated burn centers across the nation.

Presently, there are no Burn Centers in South Carolina, two in Tennessee, two in Georgia, three in Virginia and two in North Carolina. Of those burn centers, only the North Carolina Jaycee Burn Center at UNC Hospitals and the Burn Center at Wake Forest University Baptist Medical Center in Winston Salem are verified burn centers.

Burn Center Verification was originally developed by the American College of Surgeons and modeled using the ACS Trauma Center Verification standards and today is administered by the American Burn Association. Today, verified burn centers will see approximately 2/3rds of all burn patients seen in a burn center. (For more information on the ABA verification process, please refer to:

http://www.ameriburn.org/verification_verifiedcenters.php?PHPSESSID=30d8140969663fec264df3e871cd4393

Designated burn beds are limited everywhere and North Carolina is no different. With 9 at Wake Forest Baptist and 21 at UNC, the limitations are clearly here as faced by other states. While these centers do a great job of triage and moving patients to meet the needs on a regular basis, a surge of patients will quickly overwhelm this system. During a burn or blast disaster event, the two burn centers in North Carolina will coordinate to assure maximum utilization is available to the patients needing critical burn care. One component of this program is to work with the Trauma Centers in the state to absorb a portion of the patients who's needs can be met there without further inundating the limited burn resources.

Another component of this program is to provide education to the local EMS programs, regional and community hospitals to assure appropriate triage and treatment is provided using decision aids that are developed by the burn and trauma programs across the state. Patients that can be managed locally, should be managed locally and those with greater severity of injury, will be triaged appropriately to either the Trauma Centers or Burn Centers.

Good news and bad news updates:

Good news;

May 20, 2009,

Wake Forest University Baptist Medical Center became a verified burn center. Congratulations to Wake Forest. There are now five (5) verified burn centers in the southeastern US. Two in North Carolina and three in Florida.

http://www.ameriburn.org/verification_verifiedcenters.php?PHPSESSID=a0ecfb1f8f2302ce83e09eadc0d317d1

Upcoming Events:

Real time Updates on classes and presentations can be found on twitter at NCBurn

Please note: all classes after August 1, 2009 will cost $35 for in-state residents and $160 for out of state residents. This still reflects a discount of between $40.00 and $165.00.

Register Online Here:

Click here to Register for the ABLS Instructor Class on November 30

Click here to Register for the SERAC Class at Whiteville on December 15

Advanced Burn Life Support Classes

For CME/CEU information as related to ABLS, click here.

Upcoming ABLS Courses:

If you are enrolled in one of these classes, please arrive between 7:30 and 7:45 for station assignment and paperwork completion. The class will begin at 7:50am. A box lunch is provided by the host agency to assure we remain on schedule. Those who successfully complete both the written and the practical stations will finish first which could be as early as 3:45 but no later than 5:00 unless the student needs remediation. If remediation is needed, it will be offered on site and instructors will remain until all testing is completed for all students.

THE NATIONAL CERTIFICATION FEE REMAINS UNCHANGED, $200 PER PARTICIPANT.

HISTORICALLY, THE COST OF CERTIFICATION FEES WAS PAID BY GRANT FUNDS. DUE TO GRANT FUNDING REDUCTIONS, ALL CLASSES FROM AUGUST 1 UNTIL July 31 WILL REQUIRE A NET FEE OF $160 FOR OUT OF STATE PARTICIPANTS AND $35 PER NORTH CAROLINA STUDENT. THIS WILL BE PAID THROUGH ONLINE REGISTRATION. WE REGRET THE CHANGES BUT FINANCIALLY HAD NO OTHER OPTIONS. WE ANTICIPATE AN INCREASE TO $50 PER NORTH CAROLINA STUDENT FOR ALL CLASSES FROM August 1 - December 31, 2010.

WHILE THE NATIONAL FEES FOR THIS COURSE REMAINS AT $200 PER PARTICIPANT, WHEN YOU LOG ONTO THE SYSTEM, USE ONE OF THE TWO DISCOUNTS AVAILABLE.

FOR NON-STATE RESIDENTS, USE THE DISCOUNT CODE OF STUDENT FOR A REDUCTION OF $40, LEAVING YOU A PRICE OF $160.

FOR NORTH CAROLINA RESIDENTS, USE THE DISCOUNT CODE OF NCRESIDENT FOR A REDUCTION OF $165 LEAVING YOU A PRICE OF $35.

WHEN YOU LOG IN TO REGISTER, USE THE APPROPRIATE CODE.

If you have questions, please contact me at randy_kearns@med.unc.edu.

November 30

North Carolina ABLS Instructor Class

Registration will be conducted offline. Contact Mr. Havens. Anyone needing an overnight stay at the host hotel, contact Mr. Havens. We can cover the costs from the grant provided you agree to teach future ABLS Classes.

For local information contact:

Cory Havens, University of North Carolina

cory_havens@med.unc.edu

(919) 843 7886

December 1

Central Carolina Hospital, Sanford

Registration will be coordinated through Ms. Taylor at Central Carolina Hospital. For a seat in the class, contact Ms. Taylor direct.

For local information contact:

Central Carolina Hospital
Lesley Taylor, RN
919.774.2218
LESLEY.Taylor@tenethealth.com

December 15

Columbus County/Whiteville

To pre-register for the class, register online.

For local contact information, contact:

Wayne Martin EMT-P, RN, BSN, CEN

Emergency Management Coordinator
Columbus Regional Healthcare System

500 Jefferson St
Whiteville, NC 28472
(910) 641-8286 (Office)

(910) 642-9305 (Fax)

www.crhealthcare.org

Dates for 2010 are available unless noted below:

Feb. 2, 11, 18

Mar. 25

Apr. 22

May 4, 6,

May 25

June 2, 22, 24

July 8, 14, 15, 29

Aug. 12, 20, 26 (August 10 available but not preferred, schedule conflict with NC Advisory Council)

Sept. 10, 14, 23

Oct. 14, 26

Nov. 16 (November 9 available but not preferred, schedule conflict with NC Advisory Council)

Dec. 7, 16

Confirmed classes are:

Jan. 19 Wilmington

Registration will be conducted online.

For local information contact:

Bernie Medeiros RN, BS - SERAC Manager
New Hanover Regional Medical Center
PO Box 9000 - 2131 South 17th Street
Wilmington, NC 28402-9000
(910) 342-3252, to be held at the Senior Center.
pager: (910) 341-6408 - fax: (910) 343-4526
email: bernie.medeiros@nhhn.org
www.ncserac.org

Mar. 23 Wilmington

Registration will be conducted online.

For local information contact:

March 29 Greenville

East Carolina University, Monroe Center, ERAC

for more information, contact;

Chris Starbuck cstarbuc@PCMH.COM

April 6 Wilmington

Registration will be conducted online.

For local information contact:

May 13 Wilmington

Registration will be conducted online.

For local information contact:

These classes have been/are being rescheduled for later this year

Morehead City (Tentative)

To pre-register for the class, contact:

TBA

Please note, this program is funded by an ASPR Grant through the NC Office of EMS. While there is every reason to believe the program will continue to be funded, the grant is year to year and as such, all planning beyond August 2010 is contingent upon continuation of the grant.

Also, if you are interested in completing this program in smaller groups or individually, and you wish to complete the classroom component online and can attend the station testing held regionally, contact me for an ABLS Now slot. ABLS Now is an online version of ABLS but does require station testing at one of the available programs. This approach is particularly convenient for those with limited schedules and in remote locations where it is unlikely to support large classes.

Thanks,

Randy_kearns@med.unc.edu

For CME/CEU information as related to ABLS, click here.

ABLS Completed at Greensboro, at the DMPC; 24 completed the program, April 08

ABLS Completed at Cape Fear Valley Medical Center, hosted by MidCarolina RAC and CFVMC for the Fayetteville area: 27 completed the program, June 08

ABLS Completed at Wilmington, hosted by SERAC, Southeast AHEC at New Hanover Regional Medical Center: 38 completed the program, July 08

ABLS Completed at Fayetteville, hosted by MidCarolina RAC, Cumberland County EMS and Cape Fear Valley Medical Center: 72 completed the three programs, July 08

ABLS Completed at Charlotte, held at Charlotte Fire and Police Academy, and hosted by the Metrolina RAC; 56 completed the two programs, July 08

ABLS Completed at Chapel Hill and hosted by the NC Jaycee Burn Center, 17 completed the program, September 08

ABLS Instructor Course Completed at Chapel Hill and hosted by the NC Burn Disaster Program. 8 completed the program, September 08

ABLS Completed at Greensboro, EM Today Preconference Workshop, 20 completed the program October 08

ABLS Completed at Wilmington, held at New Hanover Regional Medical Center and hosted by the SERAC, 37 completed the program, October 22, 2008

ABLS Completed at Rowan/Salisbury, held at Rowan County Emergency Services Headquarters hosted by Triad RAC, 26 completed the program, December 3, 2008

ABLS Completed at Blue Ridge Technical Community College, hosted by the Mountain RAC, 33 completed the program, December 16, 2008

ABLS Completed at Asheville-Buncombe Technical Community College, hosted by the Mountain RAC, 30 completed the program, December 17, 2008

ABLS Completed at High Point Regional Hospital, hosted by the TriadRAC, 15 completed the program, January 20, 2009

ABLS Completed at Mitchell Community College, hosted by the TriadRAC, 25 completed the program, February 3, 2009

ABLS Completed at Martin Community College, hosted by the ERAC, 16 completed the program, March 8, 2009

ABLS Completed at Greenville, hosted by the ERAC, 14 completed the program, March 9, 2009

ABLS Completed at Camp Lejeune US Marine Corp Base, 49 completed the program, March 10, 2009

ABLS Completed at Betsy Johnson Regional Hospital, hosted by the CapRAC, 25 completed the program, April 22, 2009

ABLS Completed at Central Carolina Hospital, hosted by the CapRAC, 26 completed the program, April 24, 2009

ABLS Completed at Southern Regional Medical Center, hosted by the Duke RAC, 28 completed the program, May 5, 2009

ABLS Completed at Roxboro Memorial Hospital, hosted by the Duke RAC, 27 completed the program, May 19, 2009

ABLS Completed at Wilmington, held at New Hanover Regional Medical Center and hosted by the SERAC, 31 completed the program, June 4, 2009

ABLS Completed at Oxford, held at Granville Medical Center, and hosted by the Duke RAC, 24 completed the program June 9, 2009.ABLS

ABLS Completed at Durham, held at Durham Regional Hospital, and hosted by the Duke RAC, 21 completed the program June 16, 2009.

ABLS Completed at Forsyth Medical Center, hosted by Triad RAC, 24 completed the program, June 17, 2009

ABLS Completed at WakeMed Medical Center, hosted by CapRAC, 28 completed the program, July 7, 2009

ABLS Completed at CMC-Northeast Medical Center, hosted by Metrolina RAC, 32 completed the program, July 14, 2009

ABLS Completed at WakeMed Medical Center, hosted by CapRAC, 28 completed the program, July 28, 2009

ABLS Completed at New Hanover Regional Medical Center, hosted by SEARAC, 30 completed the program, August 11, 2009

ABLS Completed at Scotland Regional Medical Center, hosted by Duke RAC, 18 completed the program, August 27, 2009

ABLS Completed at Charlotte Fire Academy, hosted by Metrolina RAC, 32 completed the program, September 16, 2009

ABLS Completed at Durham Regional Hospital, hosted by Duke RAC, 27 completed the program, October 27, 2009

ABLS Completed at Blue Ridge Technical Community College, hosted by MatRAC, 19 completed the program, November 11, 2009

Total who have completed 35 ABLS provider classes to date: 904 and 8 Instructors

Please note, each of these ABLS courses include a session regarding an intro to the NC Burn Disaster Program. This includes a review of the NC Burn Disaster Plan, a review of the 6-5-6 Hold Guidelines for Non-burn center hospitals during a burn disaster, a review of the EMS Triage and Treatment guidelines and the ESF-8 review of the Disaster Plan. More comprehensive training programs for each topic are now being developed. This content will be available online by 2009 through the University of North Carolina, School of Medicine.

EMS Protocols are Completed in Final Draft Form, they were submitted to the NCCEP for either adjustment or approval. These were discussed with the EMS community at the EM Today Conference in Greensboro, October 2008.

We will also report our progress and discuss developments involving the program at the North Carolina Disaster Preparedness Medical Conference scheduled for May 2009 in Greensboro, NC.

Triage Guidelines are completed. Please refer to the triage page for this information. Also, please come by our booth at EM Today for a set of triage (destination triage) guidelines and treatment protocols.

Sites that have hosted previous ABLS classes and may be planning one in the future, contact:

Linda J. Kalafut, MSN, RN - Community Trauma Coordinator

lkalafut@wfubmc.edu

Wake Forest University - Baptist Medical Center
(336) 716-7386

To arrange for future classes in the Mountain RAC, contact:

Mark Stepp, Regional Training Officer MATRAC SMAT

Mountain Area Trauma RAC

stepp13@bellsouth.net

(828) 693-6213

To arrange for future classes the through Martin Community College, contact:

Martin Community College

for more information, contact;

Lee Black - Emergency Services Training Program Director
lblack@martincc.edu

Martin Community College - 1161 Kehukee Park Road
Williamston, NC 27892-9988
Office: (252) 792-1521 ext. 266 - Fax: (252) 792-4425

To arrange for future classes in the ERAC, contact:

East Carolina University, Monroe Center, ERAC

for more information, contact;

Chris Starbuck cstarbuc@PCMH.COM

To arrange for future classes at Camp Lejeune, contact:

United States Marine Corps, Camp Lejeune

open to civilian participation,

for more information,

Rebecca Gordon, RN
Naval Hospital Camp Lejeune
Staff Education and Training (SEAT)
100 Brewster Blvd
Camp Lejeune, NC 28547
Comm: 910-450-4197 DSN: 750-4197
Rebecca.Gordon@med.navy.mil

To arrange for future classes at Betsy Johnson, contact:

CapRAC, Betsy Johnson Regional Hospital

for more information, contact;

Betsy Johnson Regional Hospital (Dunn, NC)
Lisa Patterson, RN
910.892.1000 x4243
lpatterson@bjrh.org

To arrange for future classes at Central Carolina, contact:

Central Carolina Hospital, Sanford

for more information, contact;

Central Carolina Hospital
Lesley Taylor, RN
919.774.2218
LESLEY.Taylor@tenethealth.com

To arrange for future classes at Person or Southeastern, contact:

Duke RAC, Person Memorial Hospital, Roxboro, or Southeastern Regional Medical Center, Lumberton, or Granville Medical Center, Oxford;

for more information,

Contact;

Courtney Roach
courtney.roach@duke.edu
Duke Trauma Center - Duke University Medical Center
919.684.2335 (Office) - 919.684.8041 (Fax)

Blue Ridge Technical Community College

for more information, Contact;

180 West Campus Drive
Flat Rock, North Carolina 28731-4728
Phone: (828) 694-1729

Sarah Seiler, MS, RN, EMT-P, CCRN, CEN 
Asst Regional Emergency Response & Recovery Coordinator 
Metrolina Trauma Advisory Committee 
Carolinas Healthcare System 
(704) 355-9345 (Office) 
(704) 355-7625 (fax) 
Sarah.Seiler@carolinashealthcare.org

The location for AB-Tech will be the Hemlock Building, Room 206. The parking lots and building location is at the corner of Victoria Road and Oakland Street.
the website that displays travel directions and building locations on a map found at: http://www.abtech.edu/maps/asheville.asp

The North Carolina Burn Surge Disaster Symposium of 2009 is now over but for more details on the event, click here.

We would like to again, offer our sincere gratitude to:

Regina Godette Crawford, Asst. Chief, NC Office of EMS

Palmer Bessey MD, Cornell University, New York Presbyterian Hospitals

Lt. Colonel Itia Peleg, Israel Home Front Command

David Mozingo MD, University of Florida, Shands Medical Center

James Holmes IV, MD Wake Forest University Baptist Medical Center

Bruce Cairns, MD, North Carolina Jaycee Burn Center at the University of North Carolina Hospitals

Version 11.6.02

This website was developed solely for the distribution of public educational material and to serve as a public resource for burn and blast medical surge capacity development. Reasonable attempts were made to assure proper citation was given for all documents either quoted, or photos used on this website other than work that remains the academic property of the Webmaster. Nevertheless, if you find something here that either you question or should not be here, please send me a note as soon as possible to discuss the matter. Also, if additional citation is needed, again, please send me a note. This site is not to be used in any manner for commercial purposes.
Thanks, Webmaster.

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This site was last updated 11/11/09

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