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Burn surgery helongs to disaster medicine.Burn is a common trauma that occurs in social activities of human beings in all ages,either in the time of peace or war.During the development of human medicine in modern times,the summary of experience in treating massive burn casualties due to severe fire accidents has effectively promoted the renovation of treating technology and theory of burns and the development of burn surgery.The results of treatment of burn injury in casualties occurred in the fire of Cocoanut Grove night club in Boston in 1942,and the high-rise apartment house fire in Shanghai in 2010 were summarized and analyzed in this article,emphasizing the correlating issues of inhalation injury.