Randy Kearns
Doctorate
Doctorate Title: Burn surge capacity in the south what is the capacity of burn centers within the American Burn Association southern region to absorb significant numbers of burn injured patients during a medical disaster?
Doctorate Description: Medical disasters with significant numbers of burn-injured patients create incredible challenges for disaster planners. North Carolina is served by two Burn Centers, with a similar ratio of resources (comparing staffed beds with the population). Burn Centers of the ABA Southern Region created a plan should there be a need for additional hospital burn beds (capacity) and burn care (capability) in response to a disaster. All disasters are local. Nevertheless, regional support is critical in burn disaster planning. This work identified intrastate capacity and a stochastic model was developed using Monte Carlo simulation to quantify the regional capacity. Results confirmed the scarcity of burn bed capacity with a key finding including identification of the threshold for needing interstate surge capacity. Findings include a more finite understanding of regional capacity, capability, and when a surge of patients may require the practice of altered standards of care.
Details:
Type: Professional Doctorate
University: Medical University of South Carolina
Primary Supervisor: Dr James Zoller
Category: Trauma
Funding: Mostly self-funded (small match from the University of North Carolina)
Start Date: 2004
End Date: 2011
Status: Complete
Thesis
ThesisResearch Interests
Surge capacity, mass casualty incident, disaster planning, burn care, pediatric care
Publications
Development of the national injury resource database (NIRD)
EA Lovick, HA Phelan, BD Phillips, WL Hickerson, RD Kearns, JE Carter
Burns 2023
Radiation Injuries
RD Kearns, WL Hickerson, JE Carter
Surgical Clinics 103 (3), 539-550 2023
The Impact of COVID-19 Patient Surges on the Burn Care System
R Kearns, J Carter
Prehospital and Disaster Medicine 38 (S1), s105-s106 2023
Developing a Statewide System for Prehospital Routing of Burn Injuries
R Kearns, T Short, D Barrios, K Sittig, P Hargrove, C Hector, J Carter
Prehospital and Disaster Medicine 38 (S1), s84-s84 2023
Pediatric Disaster Readiness and Community Hospitals in a Rural American State
R Kearns, T Gross, A Perry
Prehospital and Disaster Medicine 38 (S1), s200-s201 2023
Tropical Cyclones and Burn Injuries–Hurricane Ida 2021
R Kearns, J Carter, H Phelan
Prehospital and Disaster Medicine 38 (S1), s198-s198 2023
Developing Prepositioned Burn Care-Specific Disaster Resources for a BMCI
R Kearns, C Flores, P Hargrove, F Arledge, R Prats, J Kanter, C Hector, ...
Prehospital and Disaster Medicine 38 (S1), s46-s47 2023
721 The Rising Use of Fire as a Weapon
J Woods, J Carter, K Conlon, C Flores, R Kearns
Journal of Burn Care & Research: Official Publication of the American Burn … 2023
744 Characteristics of Verified and Designated Burn Centers
J Carter, R Kearns, E Lovick, E Murata, B Phillips
Journal of Burn Care & Research: Official Publication of the American Burn … 2023
738 Access to Burn Care: A 10 Year Perspective of Burn Centers in the US
E Lovick, J Carter, H Phelan, R Kearns, B Phillips, W Hickerson
Journal of Burn Care & Research 44 (Supplement_2), S149-S149 2023
Development of prepositioned burn care-specific disaster resources for a burn mass casualty incident
RD Kearns, CA Flores, F Arledge, P Hargrove, R Prats, J Kanter, K Sittig, ...
Journal of Burn Care & Research, irad059 2023
Maladaptive Cognitions in EMS Professionals as a Function of the COVID-19 Pandemic.
GK Renkiewicz, MW Hubble, SL Hunter, RD Kearns
Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF … 2023
45 Association Between Compliance With an Organized State Burn Triage Center and Burn Outcomes
M Banks, J Elder, S Lim, J Hunt, H Phelan, C Hector, P Hargrove, C Flores, ...
Annals of Emergency Medicine 80 (4), S23 2022
Predictors of COVID-19 Vaccination Among EMS Personnel
MW Hubble, GK Renkiewicz, S Hunter, RD Kearns
Western Journal of Emergency Medicine 23 (4), 570 1 2022
13 Statewide Prehospital Routing of Burn Injuries Reduces Patient Length of Stay
RD Kearns, T Short, J Barrios, K Sittig, PB Hargrove, CW Hector, ...
Journal of Burn Care & Research 43 (Supplement_1), S13-S13 2022
544 Southern US burn centers, surge capacity and 15 months of the COVID19 pandemic
RD Kearns, CA Flores, WL Hickerson, JE Carter
Journal of Burn Care & Research 43 (Supplement_1), S107-S107 1 2022
570 Burn-Related Injuries Treated at Two Gulf Coast Hospitals During Following a Category 4 Hurricane
NM Kopari, M Rivera, HA Phelan III, RD Kearns, JE Carter
Journal of Burn Care & Research 43 (Supplement_1), S121-S122 2022
45 Application of Machine Learning Models to Thermal Burn Patient Outcome Predictions in the Aftermath of a Nuclear Event
MA Taylor, RD Kearns, JE Carter, MH Ebell, CA Harris
Journal of Burn Care & Research 42 (Supplement_1), S33-S34 2021
Actionable, revised (v. 3), and amplified American Burn Association triage tables for mass casualties: a civilian defense guideline
RD Kearns, AP Bettencourt, WL Hickerson, TL Palmieri, PD Biddinger, ...
Journal of Burn Care & Research 41 (4), 770-779 9 2020
CE Article: Thermal Burn Injury—Part 3
RD Kearns, CK Craig, PAC MMS, W Michael
EMSWorld 2020
757 Mass Casualty Planning, When an Airplane Strikes a Building
RD Kearns, JE Carter
Journal of Burn Care & Research 41 (Supplement_1), S212-S213 2020
747 Developing a Burn Mass Casualty Incident (BMCI) Plan for a State (first Steps)
RD Kearns, K Mai, PB Hargrove, T Short, CW Hector, JE Carter
Journal of Burn Care & Research 41 (Supplement_1), S206-S206 2020
100 Actionable, Revised (Version 3), and Amplified American Burn Association Triage Tables for Mass Casualties: A Civilian Defense Guideline
RD Kearns, AP Bettencourt, WL Hickerson, TL Palmieri, P Biddinger, ...
Journal of Burn Care & Research 41 (Supplement_1), S65-S66 1 2020
Managing a Medical Surge
RD Kearns
WSES Handbook of Mass Casualties Incidents Management, 11-29 1 2020
Sanatoriums and Asylums of Eastern North Carolina
RD Kearns
Arcadia Publishing 2018
Disaster preparedness and response for the burn mass casualty incident in the twenty-first century
RD Kearns, DE Marcozzi, N Barry, L Rubinson, CS Hultman, PB Rich
Clinics in plastic surgery 44 (3), 441-449 22 2017
Guidelines for burn care under austere conditions: surgical and nonsurgical wound management
LC Cancio, DJ Barillo, RD Kearns, JH Holmes IV, KM Conlon, ...
Journal of Burn Care & Research 38 (4), 203-214 43 2017
Relying on the National Mobile Disaster Hospital as a business continuity strategy in the aftermath of a tornado: The Louisville experience
RD Kearns, L Stringer, J Craig, R Godette-Crawford, PS Black, DL Andra, ...
Journal of Business Continuity & Emergency Planning 10 (3), 230-248 2 2017
Radiation Injury, Burns and Illness: A Review of Best Practices. Your approach should include identifying sources, determining exposure and managing resources
RD Kearns, S Sugarman, CB Cairns, JHH Th, BA Cairns, PB Rich
EMS world 45 (10), 52-59 1 2016
Guidelines for burn care under austere conditions: introduction to burn disaster, airway and ventilator management, and fluid resuscitation
RD Kearns, KM Conlon, AF Matherly, KK Chung, VS Bebarta, JJ Hansen, ...
Journal of Burn Care & Research 37 (5), e427-e439 34 2016
Fostering disaster preparedness through the “Grass Roots Efforts” of an American burn association special interest group
RD Kearns, KM Conlon, AL Valenta, AF Matherly, JC Jeng
Journal of Burn Care & Research 37 (4), e394-e394 1 2016
Disaster planning: financing a burn disaster, where do you turn and what are your options when your hospital has been impacted by a burn disaster in the United States?
RD Kearns, MW Hubble, GC Lord, JH Holmes 4th, BA Cairns, ...
Journal of Burn Care & Research 37 (4), 197-206 4 2016
Advanced Burn Life Support for Day-to-Day Burn Injury Management and Disaster Preparedness: Stakeholder Experiences and Student Perceptions Following 56 Advanced Burn Life …
RD Kearns, SM Ortiz-Pujols, CK Craig, JR Gusler, MB Skarote, J Carter, ...
Journal of Burn Care & Research 36 (6), 606-606 2015
North Carolina College of Emergency Physicians’ guidance document on emergency medical services
JE Winslow, AR Fernandez, D Swanson, JG Williams, T Mitchell, BA Nicks, ...
North Carolina medical journal 76 (4), 256-262 3 2015
Advanced burn life support for day-to-day burn injury management and disaster preparedness: stakeholder experiences and student perceptions following 56 advanced burn life …
RD Kearns, MW Hubble, JH Holmes IV, GC Lord, RAC Helminiak, ...
Journal of Burn Care & Research 36 (4), 455-464 24 2015
‘An abundance of caution’and Ebola in the US Healthcare System: What is the new normal?
RD Kearns, LE Leaming
Journal of Business Continuity & Emergency Planning 8 (4), 317-325 1 2015
The 2012 derecho: emergency medical services and hospital response
RD Kearns, MS Wigal, A Fernandez, MA Tucker, GR Zuidgeest, MR Mills, ...
Prehospital and Disaster Medicine 29 (5), 542-545 5 2014
Disasters; the 2010 Haitian earthquake and the evacuation of burn victims to US burn centers
RD Kearns, JH Holmes IV, MB Skarote, CB Cairns, SC Strickland, ...
Burns 40 (6), 1121-1132 12 2014
Creating a state medical response system for medical disaster management: the North Carolina experience.
RD Kearns, MB Skarote, J Peterson, MW Hubble, JE Winslow
Southern Medical Journal 107 (9), 540-548 6 2014
Electrical injury and burn care: a review of best practices
RD Kearns
EMSWorld 9 2014
Electrical injury and burn care: a review of best practices
RD Kearns
EMSWorld 9 2014
Deployable, portable, and temporary hospitals; one state’s experiences through the years
RD Kearns, MB Skarote, J Peterson, L Stringer, RL Alson, BA Cairns, ...
Am J Disaster Med 9 (3), 195-210 16 2014
Surge capacity and capability. A review of the history and where the science is today regarding surge capacity during a mass casualty disaster
RD Kearns, BA Cairns, CB Cairns
Frontiers in public health 2, 29 46 2014
Chemical burn care: A review of best practices
RD Kearns
EMSWorld 8 2014
Chemical burn care: A review of best practices
RD Kearns
EMSWorld 8 2014
Hospital bioterrorism planning and burn surge
RD Kearns, B Myers, CB Cairns, PB Rich, CS Hultman, AG Charles, ...
Biosecurity and bioterrorism: biodefense strategy, practice, and science 12 … 13 2014
th, Alson RL, Cairns BA. Disaster planning: The past, present, and future concepts and principles of managing a surge of burn injured patients for those involved in hospital …
RD Kearns, JH Holmes
J Burn Care Res 35, e33-42 5 2014
Proceedings of the national burn surge strategy meeting, Atlanta, Georgia, March, 2012
C Helminiak, G Lord, D Barillo, BA Cairns, C Goodwin, J Lamana, ...
Journal of Burn Care & Research 35 (1), e54-e65 3 2014
Burn disaster special interest group: bridging the gap
A Valenta, R Kearns, K Conlon, J Jeng
Journal of Burn Care & Research 35 (1), e51-e52 2 2014
ABA Southern Region Burn disaster plan: the process of creating and experience with the ABA southern region burn disaster plan
RD Kearns, BA Cairns, WL Hickerson, JH Holmes 4th
Journal of Burn Care & Research 35 (1), e43-e48 9 2014
April 2013, from Massachusetts to Texas, disasters that remind us of our own preparedness needs
RD Kearns, K Conlen, AL Valenta, JC Jeng
Journal of Burn Care & Research 35 (1), e53-e53 4 2014
Disaster planning: the basics of creating a burn mass casualty disaster plan for a burn center
RD Kearns, KM Conlon, AL Valenta, GC Lord, CB Cairns, JH Holmes IV, ...
Journal of Burn Care & Research 35 (1), e1-e13 55 2014
Disaster planning: the past, present, and future concepts and principles of managing a surge of burn injured patients for those involved in hospital facility planning and …
RD Kearns, JH Holmes IV, RL Alson, BA Cairns
Journal of Burn Care & Research 35 (1), e33-e42 26 2014
Disaster planning: transportation resources and considerations for managing a burn disaster
RD Kearns, MW Hubble, JH Holmes IV, BA Cairns
Journal of Burn Care & Research 35 (1), e21-e32 34 2014
Burn injury: what’s in a name? Labels used for burn injury classification: a review of the data from 2000-2012
RD Kearns, JH Holmes 4th, BA Cairns
Annals of burns and fire disasters 26 (3), 115 23 2013
Blast Injuries and Burn Care
RD Kearns
EMSWorld 6 2013
Crisis Standards of Care: A Toolkit for Indicators and Triggers Committee Meeting - Burn Surge
BA Kearns, Randy D., Cairns, Charles B., Cairns
Institute of Medicine of the National Academies 2013
Thermal burn care: a review of best practices. What should prehospital providers do for these patients?
RD Kearns, CB Cairns, JH Holmes 4th, PB Rich, BA Cairns
EMS world 42 (1), 43-51 22 2013
Thermal burn care: a review of best practices. What should prehospital providers do for these patients?
RD Kearns, CB Cairns, JH Holmes 4th, PB Rich, BA Cairns
EMS world 42 (1), 43-51 24* 2013
Burn disaster preparedness and the southern region of the United States.
R Kearns, J Holmes, B Cairns
Southern medical journal 106 (1), 69-73 20 2013
MEDICAL COUNTERMEASURES FOR A BURN MASS CASUALTY INCIDENT
FDA Headquarters, WO Campus
2012
Using Monte Carlo simulation for modeling surge capacity in the ABA Southern Region
R Kearns, J Zoller, M Hubble, R Alson, B Cairns, J Holmes IV
J Burn Care Res 33 (2), 1 6 2012
The North Carolina burn surge disaster plan for emergency medical services and hospitals
RD Kearns, BA Cairns, JH Holmes, SG Sagraves
Chapel Hill: University of North Carolina 85 6 2012
Will we gamble on emergency management in 2012?
R Kearns
IAEM Bulletin, 24 2011
WHAT IS THE CAPACITY OF BURN CENTERS WITHIN THE AMERICAN BURN ASSOCIATION SOUTHERN REGION TO ABSORB SIGNIFICANT NUMBERS OF BURN INJURED PATIENTS DURING A MEDICAL DISASTER?
RD Kearns
Medical University of South Carolina 2011
Burn surge capacity in the South What is the capacity of burn centers within the American Burn Association Southern Region to absorb significant numbers of burn injured …
RD Kearns
Medical University of South Carolina-College of Health Professions 7 2011
Walking the Talk, When Disaster Strikes
RD Kearns
IAEM Bulletin 2010
After the Explosion, Now What? The Medical Side of Emergency Management for Blast and Burns in an Overtaxed Healthcare System
RD Kearns
IAEM Bulletin 2010
Southeastern burn surge capabilities during the 2009 presidential inauguration
RD Kearns, J Holmes IV, B Cairns
J Burn Care Res 31 (2), 1 5 2010
Patient assessments, legal considerations, transportation resources, and appropriate destinations
RD Kearns, CK Craig, E Elliott, JE Carter
A best-practices review the referral process and needed equipment
RD Kearns, CK Craig, E Elliott, JE Carter
Thermal Burn Injury
RD Kearns, CK Craig, MW Hubble, AP Bettencourt, C Jeng, JE Carter
Airplane Crashes and High Rise Buildings
RD Kearns, DHA MSA, BA Cairns
Advanced Burn Life Support in the United States
RD Kearns, DHA MSA, EJ Grant, JH Holmes IV, SG Sagraves, ...
Ocracoke: July 4th Fireworks Explosion
RD Kearns, DHA MSA, JH Holmes IV, MMS Christopher Craig, ...
Thermal burn care
RD Kearns, JH Holmes IV, PB Rich, BA Cairns
a review of best practices 2013, 42 1
A Review of Best Practices
RD Kearns, D NREMTP-ret, CB Cairns, MD Rich, AC Bruce
Paramedic PhD is endorsed by:
