Response of a Single European Burn Center to Centelles Mass Casualty Burn Disaster Enzymatic Debridement Utility

The authors describe the response to a mass casualty burn incident (MCBI) in Barcelona, Spain, where seven patients qualified for enzymatic debridement. Patients with deep burn injuries to the face and/or lesions with a higher risk of developing complications (e.g., compartment syndrome) were prioritized for treatment. The authors share their treatment protocol, photos of patients and their progress, and strategies for overcoming challenges associated with patient transfer and lack of materials. The lessons learned can inform MCBI planning and response in U.S. hospitals.