Massachusetts General Hospital (MGH) and
Boston City Hospital (BCH) received most (83%) of the fire victims; other Boston area hospitals received about 30 patients:
Peter Bent Brigham Hospital,
Beth Israel Hospital,
Cambridge City Hospital, Kenmore Hospital,
Faulkner Hospital,
St. Elizabeth's Hospital, Malden Hospital,
Massachusetts Memorial Hospital,
Carney Hospital, and St. Margaret's Hospital. MGH took 114
burn and
smoke inhalation victims, and BCH received over 300. It is estimated that one casualty arrived at BCH every 11 seconds, Both hospitals were unusually well-prepared, as medical facilities along the Eastern Seaboard had drawn up emergency plans in preparation for attacks against the East Coast. Boston had carried out a city-wide drill only a week earlier, simulating a
Luftwaffe bombing assault, with over 300 mock casualties. precious minutes were initially wasted in attempts to
revive those who were dead or dying, until teams were dispatched to select the living for treatment and direct the dead to be taken to temporary
mortuaries. Prior to the fire, in April 1942, MGH had established one of the area's first
blood banks, and had stocked it with 200 units of
dried plasma as part of preparations for the war. In total, 147 units of plasma were used in treating 29 patients at MGH. At BCH, where the
Office of Civilian Defense had stored 500 units of plasma for wartime use, 98 patients received a total of 693 units of plasma, which included plasma donated by Peter Bent Brigham Hospital, the
United States Navy, and the
American Red Cross. In the days following the fire, 1,200 people donated over 3,800 units of blood to the blood bank. Careful evaluations showed no evidence of pulmonary edema, and Finland's studies at BCH concluded, "the fluids seemed to produce obvious improvement in most instances without any apparent adverse effect on the respiratory system." This was a time-consuming process that subjected the patient to agonizing pain because of the scrubbing procedure required before the application of the chemical dyes. At MGH, burns were treated with a new technique pioneered by Cope and refined by
Bradford Cannon: Soft gauze covered with
petroleum jelly and
boric acid ointment. Patients were kept on a closed ward, and meticulous
sterile technique was used in all patient-care activities. A month later at BCH, 40 of the initial 132 survivors had died, mostly from complications from their burns; at MGH, none of the 39 initial survivors died from their burns (seven died from other causes
Antibiotics At MGH, intravenous
sulfadiazine (a drug which had only been approved for use in the U.S. in 1941) was given to all patients as part of their initial treatment. At BCH, 76 patients received
sulfonamides for an average of 11 days. Thirteen survivors of the fire were also among the first humans to be treated with
penicillin. The drug was crucial in preventing infections in
skin grafts. According to the
British Medical Journal: Though bacteriological studies showed that most of the burns were infected, the
second-degree burns healed without clinical evidence of infection and with minimal scarring. The deep burns remained unusually free of invasive infection. Penicillin's success in treating Cocoanut Grove victims helped convince the U.S. government that penicillin should be produced in quantity for use by the armed forces. At the same time Lindemann was laying the foundation for the study of
grief and dysfunctional grieving,
Alexandra Adler conducted psychiatric observations and questionnaires over 11 months with more than 500 survivors of the fire, publishing some of the earliest research on
post-traumatic stress disorder. More than half of the survivors exhibited symptoms of general nervousness and anxiety, which lasted at least three months. Survivors who lost consciousness for a short time during the incident exhibited the most post-traumatic mental complications. Adler noted that 54% of survivors treated at BCH and 44% of those at MGH exhibited "post-traumatic neuroses", and that a majority of the survivors' friends and family members showed signs of "emotional upset that attained proportions of a major psychiatric condition and needed trained intervention." Adler also discovered one survivor with a lasting brain lesion who presented symptoms of
visual agnosia, most likely caused by exposure to carbon monoxide fumes, other noxious gases and/or a lack of sufficient oxygen. ==Memorials and former site==