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Mass-casualty Response to the Kiss Nightclub in Santa Maria, Brazil

  • Silvana T. Dal Ponte (a1) (a2), Carlos F. D. Dornelles (a3), Bonnie Arquilla (a4), Christina Bloem (a4) and Patricia Roblin (a4)...


On January 27, 2013, a fire at the Kiss Nightclub in Santa Maria, Brazil led to a mass-casualty incident affecting hundreds of college students. A total of 234 people died on scene, 145 were hospitalized, and another 623 people received treatment throughout the first week following the incident.1 Eight of the hospitalized people later died.1 The Military Police were the first on scene, followed by the state fire department, and then the municipal Mobile Prehospital Assistance (SAMU) ambulances. The number of victims was not communicated clearly to the various units arriving on scene, leading to insufficient rescue personnel and equipment. Incident command was established on scene, but the rescuers and police were still unable to control the chaos of multiple bystanders attempting to assist in the rescue efforts. The Municipal Sports Center (CDM) was designated as the location for dead bodies, where victim identification and communication with families occurred, as well as forensic evaluation, which determined the primary cause of death to be asphyxia. A command center was established at the Hospital de Caridade Astrogildo de Azevedo (HCAA) in Santa Maria to direct where patients should be admitted, recruit staff, and procure additional supplies, as needed. The victims suffered primarily from smoke inhalation and many required endotracheal intubation and mechanical ventilation. There was a shortage of ventilators; therefore, some had to be borrowed from local hospitals, neighboring cities, and distant areas in the state. A total of 54 patients1 were transferred to hospitals in the capital city of Porto Alegre (Brazil). The main issues with the response to the fire were scene control and communication. Areas for improvement were identified, namely the establishment of a disaster-response plan, as well as regularly scheduled training in disaster preparedness/response. These activities are the first steps to improving mass-casualty responses.

Dal Ponte ST , Dornelles CFD , Arquilla B , Bloem C , Roblin P . Mass-casualty Response to the Kiss Nightclub in Santa Maria, Brazil. Prehosp Disaster Med. 2015;30(1):1-4 .


Corresponding author

Correspondence: Silvana Teixeira Dal Ponte Rua Mario Leitão, 60 Apartamento 606, Petropólis Porto Alegre, Rio Grande do Sul E-mail


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Conflicts of interest: none



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1. Personal interview. Mobile Prehospital Assistance Services of Santa Maria, Brazil. February 27, 2013.
2. Personal interview. Civil Police of Santa Maria, Rio Grande do Sul, Brazil. February 27, 2013.
3. Atividades acadêmicas na Universidade Federal de Santa Maria ficam suspensas até 1° de fevereiro. Jornal do Commercio Web site.°_de_fevereiro. Accessed February 12, 2013.
4. Brazilian Institute of Geography and Statistics/2011. Accessed February 12, 2013.
5. Ciottone, GR. Section Four- Event Response. In: Disaster Medicine, 3rd Edition. Amsterdam, Netherlands: Elsevier Health Sciences; 2006.
6. Incident Command System, ICS100/200. FEMA Web site. Accessed February 20, 2013.


Mass-casualty Response to the Kiss Nightclub in Santa Maria, Brazil

  • Silvana T. Dal Ponte (a1) (a2), Carlos F. D. Dornelles (a3), Bonnie Arquilla (a4), Christina Bloem (a4) and Patricia Roblin (a4)...


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