Circumspectus Medicinae: Texts and ContextsBushfire Disaster Burn Casualty Management The Australian “Black Saturday” Bushfire ExperienceSeifman, Marc MBBS, BMedSc; Ek, Edmund W. MBBS (Hons), PGDipSurgAnat; Menezes, Hana BN; Rozen, Warren M. MBBS, BMedSc, PGDipSurgAnat, PhD; Whitaker, Iain S. BA (Hons), MA (Cantab), MBBChir, FRCS, PhD; Cleland, Heather J. MBBS, FRACSAuthor Information From the Victorian Adult Burns Service, The Alfred Hospital, Melbourne, Australia. Received January 11, 2011, and accepted for publication, after revision, January 17, 2011. Full authorship and ownership of the manuscript is with the authors of this article. All authors contributed significantly, and are in agreement with the content. Ethical Approval: Institutional ethical approval was obtained prospectively, and conforms to the provisions of the Declaration of Helsinki in 1995. Conflicts of interest and sources of funding: none declared. Reprints: Heather J. Cleland, MBBS, FRACS, Victorian Adult Burns Service, The Alfred Hospital, Commercial Rd, Melbourne, 3004, Victoria, Australia. E-mail: [email protected]. Annals of Plastic Surgery: November 2011 - Volume 67 - Issue 5 - p 460-463 doi: 10.1097/SAP.0b013e3182111021 Buy Metrics Abstract Mass burn disasters are among the most difficult disasters to manage, with major burns requiring complex management in a multidisciplinary setting and specialist burns services having limited capacity to deal with large numbers of complex patients. There is a paucity of literature addressing health system responses to mass burn disasters resulting from wildfires, with the events of the “Black Saturday” disaster in the state of Victoria, Australia, able to provide a unique opportunity to draw lessons and increase awareness of key management issues arising in mass burn casualty disasters. The event comprised the worst natural disaster in the state's history and one of the worst wildfire disasters in world history, claiming 173 lives and costing more than AUD 4 billion. This article draws on the national burns disaster plan instituted, Australian Mass Casualty Burn Disaster Plan (AUSBURNPLAN), and details the management of mass burn cases through a systems-based perspective. © 2011 Lippincott Williams & Wilkins, Inc.