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Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> & <strong>Midwifery</strong>, <strong>Trinity</strong> College Dublin: 8 th Annual Interdisciplinary Research <strong>Conference</strong><br />

Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007<br />

<strong>Conference</strong> <strong>Proceedings</strong><br />

Back to contents page<br />

BOSTON 1942: LESSONS LEARNED FROM CARE OF THE<br />

COCOANUT GROVE NIGHTCLUB FIRE VICTIMS<br />

Patricia Ann Connor-Ballard Ph.D, APRN-BC<br />

Clinical Nurse Specialist in Adult Health and Assistant Pr<strong>of</strong>essor <strong>of</strong><br />

<strong>Nursing</strong><br />

<strong>School</strong> <strong>of</strong> <strong>Nursing</strong> and Health Studies<br />

Georgetown University<br />

3700 Reservoir Road NW,<br />

Washington, District <strong>of</strong> Columbia, USA 20057<br />

Tel. 202-687-4670<br />

Email pab43@georgetown.edu<br />

In war-time 1942, as Boston and the rest <strong>of</strong> the country were<br />

in a state <strong>of</strong> readiness for World War II, almost five hundred people<br />

were killed as the result <strong>of</strong> a devastating fire in a popular Boston<br />

nightclub. The Coconut Grove Nightclub fire remains one <strong>of</strong> the<br />

worst catastrophes in United States history. The disaster rocked the<br />

city <strong>of</strong> Boston, leaving thousands <strong>of</strong> relatives grieving during the<br />

war-time holiday season while nurses and doctors spent arduous<br />

hours caring for survivors at two major hospitals in Boston. Using a<br />

nursing history approach, this paper will reconstruct the crisis faced<br />

by the nurses and physicians <strong>of</strong> Boston City Hospital and<br />

Massachusetts General Hospital in the care <strong>of</strong> victims from the 1942<br />

Cocoanut Grove nightclub fire. Their response to the disaster played<br />

a major role in the advancement <strong>of</strong> both American and international<br />

burn care, forcing them to initiate creative methods and implement<br />

newly-research interventions in caring for the large number <strong>of</strong><br />

severely-injured victims. The depth <strong>of</strong> the crisis demanded that<br />

nurses at both sites assume broader roles and responsibilities, and<br />

tested their ability to provide care under adverse conditions <strong>of</strong><br />

limited resources and personnel.<br />

Care <strong>of</strong> the nightclub fire victims would lead to dramatic<br />

improvements topical burn care, fluid resuscitation, skin grafting,<br />

nutritional support in burn injury, recognition <strong>of</strong> smoke inhalation<br />

injury, war-time readiness, and the development <strong>of</strong> specialized burn<br />

care units. The disaster would also result in advances in disaster<br />

preparedness and fire prevention.<br />

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