THE IMPORTANCE OF STORED SUPPLIES OF BIOLOGICAL
SKIN COVERS IN TERRITORIAL MANAGEMENT OF MASS
BURN CASUALTIES
Měřička P.1, Hošek F.2
1Tissue Centre, Medical School Hospital Hradec Kr lov , 2Department of War Surgery, Military Medical Academy J. E. P., Hradec Kr lov , Czech Republic |
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Souhrn:
This study provides supportive evidence of a possible role played by planning supplies of biological covers
needed in fire disaster, based on the experience of the authors. The major steps to be taken are these: 1. Providing
a technically and technologically adequate base for collection and long-term storage of cells and tissues
ready for use in case of catastrophe. 2. Developing a method for estimating the amount of reserved tissue grafts.
3. Solution of logistical problems associated with providing supplies for operating theatres treating disaster casualties.
4. Organisation of national and international network of graft exchange capable of supporting local skin
banks in times of need. In contrast to the situation in the 1970s and 1980s, nowadays the Czech Republic can deliver
any required amount of biological covers without having to face technological difficulties. The idea of collaborating
in the management of a fire disaster emerged from experience gained by the authors during the
Bashkir disaster in 1989, relating particularly to an inadequate reserve stock of skin grafts and the impossibility of
increasing their production. Intensified demands for the safety of grafts and recent experience from the US emphasise
the need for an immediate conceptual solution concerning production of reserves of biological covers
that should be ready for transportation to wherever needed. Another urgent necessity is the establishment of conditions
enabling effective international collaboration at a disaster event.
Klíčová slova:
fire disaster, reserves of biological skin covers, allotransplantation of skin, xenotransplantation of skin,
skin bank
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FYZICKÁ OSOBA nebo
PODNIKATELSKÝ SUBJEKT
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