Cocoanut Grove fire
   HOME

TheInfoList



OR:

The Cocoanut Grove fire was a nightclub fire which took place in Boston, Massachusetts, United States, on November 28, 1942, and resulted in the deaths of 492 people. It is the deadliest nightclub fire in U.S. history, and the second-deadliest single-building fire (after the Iroquois Theatre fire). The Cocoanut Grove was one of Boston's most popular nightspots, attracting many celebrity visitors. It was owned by Barnet "Barney" Welansky, who was closely connected to the
Mafia "Mafia" is an informal term that is used to describe criminal organizations that bear a strong similarity to the original “Mafia”, the Sicilian Mafia and Italian Mafia. The central activity of such an organization would be the arbitration of d ...
and to
Mayor In many countries, a mayor is the highest-ranking official in a municipal government such as that of a city or a town. Worldwide, there is a wide variance in local laws and customs regarding the powers and responsibilities of a mayor as well ...
Maurice J. Tobin. Fire regulations had been flouted: some exit-doors had been locked to prevent unauthorized entry, and the elaborate
palm tree The Arecaceae is a family of perennial flowering plants in the monocot order Arecales. Their growth form can be climbers, shrubs, tree-like and stemless plants, all commonly known as palms. Those having a tree-like form are called palm ...
décor contained flammable materials. The air-conditioning used flammable gas due to wartime shortage of
freon Freon ( ) is a registered trademark of the Chemours Company and generic descriptor for a number of halocarbon products. They are stable, nonflammable, low toxicity gases or liquids which have generally been used as refrigerants and as aerosol prope ...
. During the first
Thanksgiving Thanksgiving is a national holiday celebrated on various dates in the United States, Canada, Grenada, Saint Lucia, Liberia, and unofficially in countries like Brazil and Philippines. It is also observed in the Netherlander town of Leiden ...
weekend since the U.S. had entered
World War II World War II or the Second World War, often abbreviated as WWII or WW2, was a world war that lasted from 1939 to 1945. It involved the vast majority of the world's countries—including all of the great powers—forming two opposing ...
the Grove was filled to more than twice its legal capacity. The fire was initiated by an electrical short and fueled by methyl chloride in the air conditioning unit. Flames and smoke spread rapidly through all areas of the club, and people were unable to escape due in part to locked exit doors. Blame was directed at Welansky for violation of standards; he served nearly four years in jail before being released just weeks before his death. Local hospitals were especially well prepared to treat the casualties having been rehearsing emergency drills in response to possible wartime attacks on the East Coast. The crisis demonstrated the value of the new
blood bank A blood bank is a center where blood gathered as a result of blood donation is stored and preserved for later use in blood transfusion. The term "blood bank" typically refers to a department of a hospital usually within a Clinical Pathology laborat ...
s and stimulated important advances in the treatment of burn victims. Following the tragedy, many new laws were enacted for public establishments, including the banning of flammable decorations, a provision that emergency exits must be kept unlocked (from the inside), and that revolving doors cannot be the only exit.


Club

The Cocoanut Grove opened as a partnership between two orchestra leaders, Mickey Alpert and Jacques Renard, in 1927 during
Prohibition Prohibition is the act or practice of forbidding something by law; more particularly the term refers to the banning of the manufacture, storage (whether in barrels or in bottles), transportation, sale, possession, and consumption of alcohol ...
at 17 Piedmont Street in the Bay Village neighborhood of Boston, spanning from Piedmont Street to Shawmut Street. It became a
speakeasy A speakeasy, also called a blind pig or blind tiger, is an illicit establishment that sells alcoholic beverages, or a retro style bar that replicates aspects of historical speakeasies. Speakeasy bars came into prominence in the United States ...
as Alpert and Renard's
Mafia "Mafia" is an informal term that is used to describe criminal organizations that bear a strong similarity to the original “Mafia”, the Sicilian Mafia and Italian Mafia. The central activity of such an organization would be the arbitration of d ...
-connected financiers gained control, and had a reputation as a gangland hangout. Although neither Alpert nor Renard held an interest in the club by 1942, Alpert was leading the house band on the night of the fire. Gangland boss and bootlegger Charles "King" Solomon, also known as "Boston Charlie", owned the club from 1931 until he was gunned down in the men's room of Roxbury's Cotton Club nightclub. Ownership passed to his lawyer Barnet "Barney" Welansky, who sought a more mainstream image for the club while privately boasting of his ties to the mob and
Boston Mayor The mayor of Boston is the head of the municipal government in Boston, Massachusetts. Boston has a mayor–council government. Boston's mayoral elections are nonpartisan (as are all municipal elections in Boston), and elect a mayor to a four-y ...
Maurice J. Tobin. Welansky was known to be a tough boss who ran a tight ship, hiring teenagers as
busboy In North America, a busser, more commonly known as a busboy or busgirl, is a person who works in the restaurant and catering industry clearing tables, taking dirty dishes to the dishwasher, setting tables, refilling and otherwise assisting the ...
s for low wages and street toughs to double as waiters and bouncers. He locked exits, concealed others with draperies, and even bricked up one emergency exit to prevent customers leaving without paying. On the night of the fire Welansky was recovering from a heart attack in a private room at Massachusetts General Hospital (MGH), where some of the victims would be sent. Originally a garage and warehouse complex, the brick and concrete buildings which constituted the Cocoanut Grove had been converted to a one-and-a-half-story meandering complex of dining rooms, bars, and lounges. A new lounge in an adjoining building had opened the week before the fire. The club offered its patrons dining and dancing in a South Seas-like "tropical paradise" with a roof that could be rolled back in summer for dancing under the stars. The decor consisted of leatherette, rattan and bamboo coverings on the walls, heavy draperies, and dark blue satin canopies and covering on ceilings. Support columns in the main dining area were made to look like
palm tree The Arecaceae is a family of perennial flowering plants in the monocot order Arecales. Their growth form can be climbers, shrubs, tree-like and stemless plants, all commonly known as palms. Those having a tree-like form are called palm ...
s, with light fixtures made to look like coconuts. The theme was continued in the basement Melody Lounge, with what little light there was provided by palm tree light fixtures.


Background

The "Grove" had become one of Boston's most popular nightspots, featuring a restaurant and dancing in the main area, floor shows, and piano-playing entertainers in the Melody Lounge. Visiting movie stars and singers would have their entry announced by the '' maître d'''. The "Caricature Bar" featured renditions of the establishment's prominent guests. The club had expanded eastward with the new Broadway Lounge, which opened onto adjacent Broadway between Piedmont Street (south side) and Shawmut Street (north side). Wall coverings and decorative materials had been approved on the basis of tests for ordinary ignition, which showed resistance to combustion from sources such as matches and cigarettes. Decorative cloth was purportedly treated with fire retardant
ammonium sulfate Ammonium sulfate (American English and international scientific usage; ammonium sulphate in British English); (NH4)2SO4, is an inorganic salt with a number of commercial uses. The most common use is as a soil fertilizer. It contains 21% nitrogen a ...
upon installation, but there was no documentation that the treatment was maintained at the required intervals. The air-conditioning
freon Freon ( ) is a registered trademark of the Chemours Company and generic descriptor for a number of halocarbon products. They are stable, nonflammable, low toxicity gases or liquids which have generally been used as refrigerants and as aerosol prope ...
refrigerant had been replaced with the flammable gas
methyl chloride Chloromethane, also called methyl chloride, Refrigerant-40, R-40 or HCC 40, is an organic compound with the chemical formula . One of the haloalkanes, it is a colorless, odorless, flammable gas. Methyl chloride is a crucial reagent in industria ...
due to wartime shortage. On the day of the fire College of the Holy Cross football team beat Boston College, causing the Boston College celebration party scheduled for the Cocoanut Grove that evening to be canceled. Mayor Tobin, a Boston College fan, also canceled his plans to go to the Grove. Female impersonator Arthur Blake was a headlining act that night. It is estimated that more than 1,000 people were crammed into the space rated for a maximum of 460.


Fire

Official reports state that the fire started at about 10:15 pm in the Melody Lounge. Goody Goodelle, a young pianist and singer, was performing on a revolving stage surrounded by artificial palm trees. The lounge was lit by low-powered light bulbs in coconut-styled sconces beneath the fronds. A young man, possibly a
soldier A soldier is a person who is a member of an army. A soldier can be a conscripted or volunteer enlisted person, a non-commissioned officer, or an officer. Etymology The word ''soldier'' derives from the Middle English word , from Old French ...
, had unscrewed a light bulb in order to give himself and his date privacy while kissing. Stanley Tomaszewski, a 16-year-old
busboy In North America, a busser, more commonly known as a busboy or busgirl, is a person who works in the restaurant and catering industry clearing tables, taking dirty dishes to the dishwasher, setting tables, refilling and otherwise assisting the ...
, was instructed to put the light back on by tightening the bulb. He stepped up onto a chair to reach the light in the darkened corner. Unable to see the bulb, he lit a
match A match is a tool for starting a fire. Typically, matches are made of small wooden sticks or stiff paper. One end is coated with a material that can be ignited by friction generated by striking the match against a suitable surface. Wooden matc ...
to illuminate the area, tightened the bulb, and extinguished the match. Witnesses first saw flames in the fronds, which were just below the ceiling, immediately afterward. Though the lit match had been close to the same fronds where the fire was seen to have begun, the official report determined that Tomaszewski's actions could not be found to be the source of the fire, which "will be entered into the records of this department as being of unknown origin." Despite waiters' efforts to douse the fire with water, it spread along the fronds of the palm tree decoration. In a final desperate attempt to separate the burning fronds from the fabric-covered false ceiling, the decoration was pulled away from the corner, taking with it a triangular plywood panel at the ceiling level and opening the enclosed space above the false ceiling. Coincidentally or not, that was the point at which the fire spread to the false ceiling which burned rapidly, showering patrons with sparks and burning shreds of fabric. Flames raced up the stairway to the main level, burning the hair of patrons fleeing up the stairs. A fireball burst through the front entryway and spread through the remaining club areas: through the adjacent Caricature Bar, down a corridor to the Broadway Lounge, and across the central restaurant and dance floor as the orchestra was beginning its evening show. Flames raced faster than patrons could move, followed by thick clouds of smoke. Within five minutes, flames and smoke had spread to the entire nightclub. Some patrons were instantly overcome by smoke as they sat in their seats. Others crawled through the smoky darkness trying to find exits, all but one of which were either non-functioning or hidden in non-public areas. Many patrons attempted to exit through the main entrance, the same way they had entered. The building's main entrance was a single revolving door, which was rendered useless as the crowd stampeded in panic. Bodies piled up behind both sides of the revolving door, jamming it until it broke. The oxygen-hungry fire then leaped through the breach, incinerating whoever was left alive in the pile.
Firemen A firefighter is a first responder and rescuer extensively trained in firefighting, primarily to extinguish hazardous fires that threaten life, property, and the environment as well as to rescue people and in some cases or jurisdictions also ...
had to douse the flames to approach the door. Later, after fire laws had tightened, it would become illegal to have only one revolving door as a main entrance without being flanked by outward opening doors with panic bar openers attached, or have the revolving doors set up so that the doors could fold against themselves in emergency situations.The Cocoanut Grove Fire - Boston Fire Historical Society
/ref> Other avenues of escape were similarly useless; side doors had been bolted shut to prevent people from leaving without paying. A plate glass window, which could have been smashed for escape, was boarded up and unusable as an emergency exit. Other unlocked doors, like the ones in the Broadway Lounge, opened inwards, rendering them useless against the crush of people trying to escape. Fire officials would later testify that had the doors swung outwards, at least 300 lives could have been spared.Daniel J. Fleming, "The Cocoanut Grove Revisited: U.S. Navy Records Document How 492 Died in a Deadly Nightclub Fire 75 Years Ago." ''Prologue Magazine,'' Fall 2017, Vol. 49, No. 3
/ref> From nearby bars, soldiers and sailors raced to assist. On the street, firefighters lugged out bodies and were treated for burned hands. As night deepened, the temperature dropped. Water on cobblestone pavements froze over and hoses were fused to the ground. Newspaper trucks were appropriated as ambulances. Smoldering bodies, living and dead, were hosed in icy water. Some victims had breathed fumes so hot that when they inhaled cold air, as one firefighter put it, they dropped like stones. Later, during the cleanup of the building, firefighters found several dead guests sitting in their seats with drinks in their hands. They had been overcome so quickly by fire and toxic smoke that they had not had time to move.


Victims and escapees

Boston newspapers were filled with lists of the dead and stories of narrow escapes. Well-known film actor
Buck Jones Buck Jones (born Charles Frederick Gebhart; December 12, 1891 – November 30, 1942) was an American actor, known for his work in many popular Western movies. In his early film appearances, he was credited as Charles Jones. Early life, milita ...
was at the club that night, and his wife later explained that he had initially escaped then gone back into the burning building to find his agent, producer Scott R. Dunlap of Monogram Pictures. However, after the blaze, Jones was discovered slumped under his table severely burned, so some doubted accounts of his escape. Although rushed to hospital, Jones died of his injuries two days later. Dunlap, who was hosting a party at the nightclub in honor of Jones, was seriously injured but survived. Staff at the Cocoanut Grove fared better in escaping than customers, owing to their familiarity with service areas, where the fire's effects were less severe than in the public areas, and which provided access to additional window and door exits. A double door opposite the public entryway to the main dining room was unlocked by wait staff and was soon the only functional outside exit from public areas. Although several members of the band, including musical director Bernie Fazioli, died, most of them escaped backstage and through a service door that they rammed open. Alpert escaped out of a basement window and was credited with leading several people to safety. Bassist Jack Lesberg went on to play music with Louis Armstrong, Sarah Vaughan, Leonard Bernstein, and many others until shortly before his death in 2005. Cashier Jeanette Lanzoni, entertainer Goody Goodelle, three bartenders and other employees and patrons in the Melody Lounge escaped into the kitchen. Bartender Daniel Weiss survived by dousing a cloth napkin with a pitcher of water and breathing through it as he made his escape from the Melody Lounge. Those in the kitchen had escape routes through a window above a service bar and up a stairway to another window and a service door that was eventually rammed open. Five people survived by taking refuge in a walk-in refrigerator and a few more in an
ice box An icebox (also called a cold closet) is a compact non-mechanical refrigerator which was a common early-twentieth-century kitchen appliance before the development of safely powered refrigeration devices. Before the development of electric refrig ...
. Rescuers reached the kitchen after about ten minutes. Coast Guardsman Clifford Johnson went back inside the building no fewer than four times in search of his date who, unbeknownst to him, had safely escaped. Johnson suffered extensive
third-degree burn A burn is an injury to skin, or other tissues, caused by heat, cold, electricity, chemicals, friction, or ultraviolet radiation (like sunburn). Most burns are due to heat from hot liquids (called scalding), solids, or fire. Burns occur mai ...
s over 55% of his body but survived the disaster, becoming the most severely burned person ever to survive his injuries at the time. After 21 months in a hospital and several hundred operations, he married his nurse and returned to his home state of
Missouri Missouri is a state in the Midwestern region of the United States. Ranking 21st in land area, it is bordered by eight states (tied for the most with Tennessee): Iowa to the north, Illinois, Kentucky and Tennessee to the east, Arkansas t ...
. Fourteen years later he burned to death in a fiery automobile crash.


Investigations

An official report revealed that the Cocoanut Grove had been inspected by a captain in the
Boston Fire Department The Boston Fire Department provides fire protection and first responder emergency medical services to the city of Boston, Massachusetts. It also responds to such incidents as motor vehicle accidents, hazardous material spills, utility mishaps, ...
(BFD) just ten days before the fire and declared safe. Further, it was found that the Grove had not obtained any licenses for operation for several years; there were no food handlers' permits and no liquor licenses. Stanley Tomaszewski, the busboy who had allegedly started the fire, was underage and should not have been working there. Moreover, the recent remodeling of the Broadway Lounge had been done without
building permit A building, or edifice, is an enclosed structure with a roof and walls standing more or less permanently in one place, such as a house or factory (although there's also portable buildings). Buildings come in a variety of sizes, shapes, and func ...
s, using unlicensed contractors. Tomaszewski testified at the inquiry and was exonerated, as he was not responsible for the flammable decorations or the life safety code violations. He was nevertheless ostracized for much of his life because of the fire. Tomaszewski died in 1994. The BFD investigated possible causes of ignition, the rapid spread of the fire and the catastrophic loss of life. Its report reached no conclusion as to the initial cause of ignition, but attributed the rapid, gaseous spread of the fire to a buildup of
carbon monoxide Carbon monoxide (chemical formula CO) is a colorless, poisonous, odorless, tasteless, flammable gas that is slightly less dense than air. Carbon monoxide consists of one carbon atom and one oxygen atom connected by a triple bond. It is the simple ...
gas due to oxygen-deprived combustion in the enclosed space above the false ceiling of the Melody Lounge. The gas exuded from enclosed spaces as its temperature rose and ignited rapidly as it mixed with oxygen above the entryway, up the stairway to the main floor and along ceilings. The fire accelerated as the stairway created a thermal draft, and the high-temperature gas fire ignited
pyroxylin Nitrocellulose (also known as cellulose nitrate, flash paper, flash cotton, guncotton, pyroxylin and flash string, depending on form) is a highly flammable compound formed by nitrating cellulose through exposure to a mixture of nitric acid and ...
(leatherette) wall and ceiling covering in the foyer, which in turn exuded flammable gas. The report also documented the fire safety code violations, flammable materials and door designs that contributed to the large loss of life. During the 1990s, former Boston firefighter and researcher Charles Kenney discovered that a highly flammable gas refrigerant, methyl chloride, had been used as a substitute for freon, which was in short wartime supply. Kenney reported that floor plans, but not the fire investigation report, showed air-conditioning condenser units near street level on the other side of a non-structural wall from the Melody Lounge, and that these units had been serviced since the start of the war. Kenney also reported tha
photographic evidence
indicates an origin for the fire in the wall behind the palm tree and suggested ignition of methyl chloride accelerant by an electrical failure caused by substandard wiring.Schorow, Stephanie (2005) The Cocoanut Grove Fire, Commonwealth, 96 p. Methyl chloride combustion is consistent with some aspects of the fire (reported flame colors, smell and inhalation symptoms) but requires additional explanation for ceiling-level fire as the gas is 1.7 times as dense as air. In 2012, the BFD released the transcripts of witness interviews following the fire, which are posted online. Witnesses Tomaszewski, Morris Levy, Joyce Spector, David Frechtling and Jeanette Lanzoni (Volume 1) provided accounts of the ignition of the palm decoration and ceiling in the Melody Lounge. Frechtling and Lanzoni described the start of the fire as a "flash." Tomaszewski described the spread of the fire across the ceiling as like a gasoline fire. The flame front across the ceiling was faint blue, followed by brighter flames. Witness Roland Sousa (Volume 2) stated that he was initially unconcerned about the fire because, as a regular customer of the Melody Lounge, he had seen the palm tree decorations ignite before and they were always quickly put out.


Legal consequences

Barney Welansky, whose connections had allowed the nightclub to operate while in violation of the loose standards of the day, was convicted on nineteen counts of manslaughter (nineteen victims were randomly selected to represent the dead). He was sentenced to 12–15 years in prison in 1943. Welansky served nearly four years before being quietly pardoned by Tobin, who had been elected
governor of Massachusetts The governor of the Commonwealth of Massachusetts is the chief executive officer of the government of Massachusetts. The governor is the head of the state cabinet and the commander-in-chief of the commonwealth's military forces. Massachuset ...
since the fire. In December 1946, ravaged with
cancer Cancer is a group of diseases involving abnormal cell growth with the potential to invade or spread to other parts of the body. These contrast with benign tumors, which do not spread. Possible signs and symptoms include a lump, abnormal b ...
, Welansky was released from Norfolk Prison, telling reporters, "I wish I'd died with the others in the fire." Nine weeks later, he succumbed to his cancer. In the year that followed the fire,
Massachusetts Massachusetts (Massachusett: ''Muhsachuweesut Massachusett_writing_systems.html" ;"title="nowiki/> məhswatʃəwiːsət.html" ;"title="Massachusett writing systems">məhswatʃəwiːsət">Massachusett writing systems">məhswatʃəwiːsət'' En ...
and other states enacted laws for public establishments banning flammable decorations and inward-swinging exit doors, and requiring exit signs to be visible at all times (meaning that the exit signs had to have independent sources of electricity, and be easily readable in even the thickest smoke). The new laws also required that revolving doors used for egress must either be flanked by at least one normal, outward-swinging door, or retrofitted to permit the individual door leaves to fold flat to permit free-flowing traffic in a panic situation, and further required that no emergency exits be chained or bolted shut in such a way as to bar escape through the doors during a panic or emergency situation. Jack Thomas of ''
The Boston Globe ''The Boston Globe'' is an American daily newspaper founded and based in Boston, Massachusetts. The newspaper has won a total of 27 Pulitzer Prizes, and has a total circulation of close to 300,000 print and digital subscribers. ''The Boston Glob ...
'' wrote in his front page 50-anniversary article that "The Licensing Board ruled that no Boston establishment could call itself the Cocoanut Grove." There has never been another Cocoanut Grove in Boston. Commissions were established by several states that would levy heavy
fines Fines may refer to: * Fines, Andalusia, Spanish municipality * Fine (penalty) * Fine, a dated term for a premium on a lease of land, a large sum the tenant pays to commute (lessen) the rent throughout the term *Fines, ore or other products with a s ...
or even shut down establishments for infractions of any of these laws. These later became the basis for several federal fire laws and code restrictions placed on nightclubs, theaters, banks, public buildings, and restaurants across the nation. It also led to the formation of several national organizations dedicated to fire safety.


Medical treatment

MGH and
Boston City Hospital The Boston City Hospital (1864–1996), in Boston, Massachusetts, was a public hospital, located in the South End. It was "intended for the use and comfort of poor patients, to whom medical care will be provided at the expense of the city, and . ...
(BCH) received the majority (83%) of the victims from the fire;Louis M. Lyons, "Boston Doctors Tell Lessons Learned from Grove Fire," ''Boston Globe,'' Tuesday, Dec. 14, 1942, p. 1. other Boston area hospitals received a total of about thirty patients:
Peter Bent Brigham Hospital Brigham and Women's Hospital (BWH) is the second largest teaching hospital of Harvard Medical School and the largest hospital in the Longwood Medical Area in Boston, Massachusetts. Along with Massachusetts General Hospital, it is one of the two f ...
, Beth Israel Hospital, Cambridge City Hospital, Kenmore Hospital, Faulkner Hospital,
St. Elizabeth's Hospital St. Elizabeths Hospital is a psychiatric hospital in Southeast, Washington, D.C. operated by the District of Columbia Department of Behavioral Health. It opened in 1855 under the name Government Hospital for the Insane, the first federally oper ...
, Malden Hospital,
Massachusetts Memorial Hospital Massachusetts (Massachusett: ''Muhsachuweesut Massachusett_writing_systems.html" ;"title="nowiki/> məhswatʃəwiːsət.html" ;"title="Massachusett writing systems">məhswatʃəwiːsət">Massachusett writing systems">məhswatʃəwiːsət'' En ...
,
Carney Hospital Carney Hospital is a 159-bedhttp://www.caritaschristi.org/oth/Page.asp?PageID=OTH000334 community teaching hospital in Dorchester, Massachusetts, affiliated with Tufts University School of Medicine and Tufts Medical Center. The hospital had its ...
, and St. Margaret's Hospital.Casey C. Grant, "Last Dance at the Cocoanut Grove," National Fire Protection Association, ''NFPA Journal,'' November/December, 2007.
/ref> MGH took 114
burn A burn is an injury to skin, or other tissues, caused by heat, cold, electricity, chemicals, friction, or ultraviolet radiation (like sunburn). Most burns are due to heat from hot liquids (called scalding), solids, or fire. Burns occur ma ...
and
smoke inhalation Smoke inhalation is the breathing in of harmful fumes (produced as by-products of combusting substances) through the respiratory tract. This can cause smoke inhalation injury (subtype of acute inhalation injury) which is damage to the respirator ...
victims, and BCH received over 300.Saffle JR, "The 1942 fire at Boston's Cocoanut Grove nightclub", ''Am J Surg'', 1993 Dec;166(6):581-91.
/ref> It was estimated that one casualty arrived at BCH every eleven seconds, the greatest influx of patients to any civilian hospital in history. Both hospitals were unusually well-prepared, as medical facilities all 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 The ''Luftwaffe'' () was the aerial-warfare branch of the German ''Wehrmacht'' before and during World War II. Germany's military air arms during World War I, the ''Luftstreitkräfte'' of the Imperial Army and the '' Marine-Fliegerabtei ...
bombing assault, with over 300 mock casualties. At MGH, a special store of emergency supplies had been stockpiled. The fire caught both hospitals at change of shift, so that a double complement of nursing and support staff was available, in addition to volunteers who flocked to the hospitals as word spread of the disaster. Nonetheless, most patients died en route to the hospitals or shortly after arrival. Because no standardized system for
triage In medicine, triage () is a practice invoked when acute care cannot be provided for lack of resources. The process rations care towards those who are most in need of immediate care, and who benefit most from it. More generally it refers to prio ...
yet existed in civilian mass casualty management in the U.S., 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. By Sunday morning, November 29, only 132 patients out of the 300 transported to BCH were still alive, whereas at MGH, 75 of the 114 victims had died, leaving 39 surviving patients in treatment. Of a total of 444 burn victims hospitalized after the fire, only 130 survived. One of the first administrative decisions made at MGH was to clear the general surgery ward on the sixth floor of the White Building and devote it entirely to victims of the fire. All victims were housed there; strict medical isolation was maintained, and a part of the ward was set aside for dressing changes and
wound care The history of wound care spans from prehistory to modern medicine. Wounds naturally heal by themselves, but hunter-gatherers would have noticed several factors and certain herbal remedies would speed up or assist the process, especially if it w ...
. Teams of nurses and orderlies were organized for administration of
morphine Morphine is a strong opiate that is found naturally in opium, a dark brown resin in poppies (''Papaver somniferum''). It is mainly used as a pain medication, and is also commonly used recreationally, or to make other illicit opioids. T ...
, wound care, and respiratory treatments. The aftermath of the fire saw the first major use of MGH's new
blood bank A blood bank is a center where blood gathered as a result of blood donation is stored and preserved for later use in blood transfusion. The term "blood bank" typically refers to a department of a hospital usually within a Clinical Pathology laborat ...
, one of the area's first, established in April 1942 and stocked with 200 units of dried plasma as part of its preparations for the war. A total of 147 units of plasma were used in treating 29 patients at MGH. At BCH, where the
Office of Civilian Defense Office of Civilian Defense was a United States federal emergency war agency set up May 20, 1941, by to co-ordinate state and federal measures for protection of civilians in case of war emergency. Its two branches supervised protective function ...
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 The United States Navy (USN) is the maritime service branch of the United States Armed Forces and one of the eight uniformed services of the United States. It is the largest and most powerful navy in the world, with the estimated tonnage ...
and the American Red Cross. The volume of plasma used in treating the victims of the Cocoanut Grove surpassed that used during the
attack on Pearl Harbor The attack on Pearl HarborAlso known as the Battle of Pearl Harbor was a surprise military strike by the Imperial Japanese Navy Air Service upon the United States against the naval base at Pearl Harbor in Honolulu, Territory of Hawaii ...
.Finland M, Davidson CS, Levenson SM. "Effects of plasma and fluid on pulmonary complications in burned patients: study of the effects in victims of the Cocoanut Grove fire." ''Arch Intern Med'' 1946; 77: 477-90. In the days following the fire, twelve hundred people donated over 3,800 units of blood to the blood bank. Most survivors were discharged by the end of 1942; however, a few patients required months of
intensive care Intensive care medicine, also called critical care medicine, is a medical specialty that deals with seriously or critically ill patients who have, are at risk of, or are recovering from conditions that may be life-threatening. It includes pro ...
. In April 1943, the last survivor from MGH was discharged. At BCH, the last casualty, a woman from Dorchester, died in May, after five months of treatment for severe burns and internal injuries. Hospitals rendering service chose not to charge any of the patients for treatment. The Red Cross provided financial aid to both the public and private hospitals. This was especially helpful to BCH, given its enormous influx of patients.


Advances in the care of burn victims

The fire led to new ways of caring for both burns and
smoke inhalation Smoke inhalation is the breathing in of harmful fumes (produced as by-products of combusting substances) through the respiratory tract. This can cause smoke inhalation injury (subtype of acute inhalation injury) which is damage to the respirator ...
. The team at BCH was directed by Dr. Charles Lund as senior surgeon and Dr. Newton Browder. In 1944, Lund and Browder, drawing upon their experiences in treating Cocoanut Grove victims, would publish the most widely cited paper in modern burn care, "Estimation of the Areas of Burns", in which a diagram for estimating burn size would be presented. This diagram, called the
Lund and Browder chart The Lund and Browder chart is a tool useful in the management of burns for estimating the total body surface area affected. It was created by Dr. Charles Lund, Senior Surgeon at Boston City Hospital, and Dr. Newton Browder, based on their experien ...
, remains in use throughout the world today.


Fluid therapy

Surgeons Francis Daniels Moore and Oliver Cope at MGH pioneered fluid resuscitation techniques for the burn victims, noting that the majority of patients suffered from severe hemorrhagic
tracheobronchitis Tracheobronchitis is inflammation of the trachea and bronchi. It is characterised by a cough, fever, and purulent (containing pus) sputum and is therefore suggestive of pneumonia. It is classified as a respiratory tract infection. Tracheobronchitis ...
due to "prolonged inhalation of the very hot air and fumes which presumably contained many toxic products...and, in addition, numerous hot particles of fine carbon or similar substances."Finland M, Davidson CS, Levenson SM. "Clinical and therapeutic aspects of the conflagration injuries to the respiratory tract sustained by victims of the Cocoanut Grove disaster." ''Medicine'' 1946; 25: 215-83. At the time, infusions of saline alone were thought to "wash out" plasma proteins and increase the risk of
pulmonary edema Pulmonary edema, also known as pulmonary congestion, is excessive liquid accumulation in the tissue and air spaces (usually alveoli) of the lungs. It leads to impaired gas exchange and may cause hypoxemia and respiratory failure. It is due t ...
. Accordingly, patients at MGH were given a solution of equal parts of plasma and saline solution, based on the extent of their cutaneous burns, while at BCH, patients with respiratory injuries were given fluids as needed. Careful evaluations showed no evidence of pulmonary edema, and Finland's studies at BCH concluded that "the fluids seemed to produce obvious improvement in most instances without any apparent adverse effect on the respiratory system." This experience stimulated further studies of burn shock, leading, in 1947, to publication by Cope and Moore of the first comprehensive formula for fluid therapy based on a calculation of the total surface area of burn wounds and the volume of urine and liquids that had been wrung out of patients’ bedsheets.


Burn care

The standard surface burn treatment in use at the time was the so-called "tanning process" involving the application of a solution of
tannic acid Tannic acid is a specific form of tannin, a type of polyphenol. Its weak acidity ( pKa around 6) is due to the numerous phenol groups in the structure. The chemical formula for commercial tannic acid is often given as C76H52O46, which corresp ...
, which created a leathery scab over the wound that protected against the invasion of bacteria and prevented the loss of bodily fluids. 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 himself and refined by
Bradford Cannon Bradford Cannon (December 2, 1907 – December 20, 2005), the son of Dr. Walter Bradford Cannon, was a pioneer in the field of reconstructive surgery, specialising in burn victims. He was the first chief of plastic and reconstructive surgery a ...
: soft gauze covered with petroleum jelly and
boric acid Boric acid, more specifically orthoboric acid, is a compound of boron, oxygen, and hydrogen with formula . It may also be called hydrogen borate or boracic acid. It is usually encountered as colorless crystals or a white powder, that dissolve ...
ointment.Peter Andrey Smith, "Cocoanut Grove Fire Spurred Burn Care Innovation." MGH website.
/ref>Joseph C. Aub, Henry K. Beecher, Bradford Cannon, Stanley Cobb, Oliver Cope, N. W. Faxon, Champ Lyons, Tracy Mallory and Richard Schatzki and Their Staff Associates (Massachusetts General Hospital Staff doctors). ''Management of the Cocoanut Grove Burns at the Massachusetts General Hospital''. Philadelphia, Lippincott, 1943. 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). As a result, the use of tannic acid as a treatment for burns was phased out as the standard.Kwang Chear Lee, Kavita Joory, Naiem S. Moiemen, "History of burns: The past, present and the future," ''Burns Trauma,'' 2014; 2(4): 169–180. Published online 2014 Oct 25.
doi: 10.4103/2321-3868.143620


Antibiotics

At MGH, intravenous sulfadiazine (a new drug which had only been approved for use in the US in August, 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 the new antibiotic, penicillin. In early December Merck and Company rushed a 32-liter supply of the drug, in the form of culture liquid in which the ''
Penicillium ''Penicillium'' () is a genus of ascomycetous fungi that is part of the mycobiome of many species and is of major importance in the natural environment, in food spoilage, and in food and drug production. Some members of the genus produce pe ...
'' mold had been grown, from
Rahway Rahway () is a city in southern Union County, in the U.S. state of New Jersey. A bedroom community of New York City, it is centrally located in the Rahway Valley region, in the New York metropolitan area. The city is southwest of Manhattan ...
,
New Jersey New Jersey is a state in the Mid-Atlantic and Northeastern regions of the United States. It is bordered on the north and east by the state of New York; on the east, southeast, and south by the Atlantic Ocean; on the west by the Delaware ...
, to Boston. These patients received 5,000 IU (roughly 2.99 mg) every four hours, a relatively tiny dose by today's standards, but at the time antibiotic resistance was rare and most strains of '' Staphylococcus aureus'' were penicillin-sensitive.Stuart B. Levy, ''The Antibiotic Paradox: How the Misuse of Antibiotics Destroys Their Curative Powers,'' Da Capo Press, 2002: pp. 5-7. The drug was crucial in preventing infections in
skin graft Skin grafting, a type of graft surgery, involves the transplantation of skin. The transplanted tissue is called a skin graft. Surgeons may use skin grafting to treat: * extensive wounding or trauma * burns * areas of extensive skin loss du ...
s. 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.
As a result of the success of penicillin in preventing infections, the US government decided to support the production and the distribution of penicillin to the armed forces.


Psychological trauma

Erich Lindemann, an MGH psychiatrist, studied the families and relatives of the dead and published what has become a classic paper, "Symptomatology and Management of Acute Grief", read at the Centenary Meeting of the
American Psychiatric Association The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 37,000 members are involv ...
in May 1944, and published in September of the same year. At the same time Lindemann was laying the foundation for the study of grief and dysfunctional grieving,
Alexandra Adler Alexandra Adler (24 September 1901 – 4 January 2001) was an Austrian neurologist and the daughter of psychoanalyst Alfred Adler. She has been described as one of the "leading systematizers and interpreters" of Adlerian psychology. Her siste ...
conducted psychiatric observations and questionnaires over eleven months with more than 500 survivors of the fire, publishing some of the earliest research on
post-traumatic stress disorder Post-traumatic stress disorder (PTSD) is a mental and behavioral disorder that can develop because of exposure to a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, domestic violence, or other threats o ...
. 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 period of 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 Visual agnosia is an impairment in recognition of visually presented objects. It is not due to a deficit in vision (acuity, visual field, and scanning), language, memory, or intellect. While cortical blindness results from lesions to primary visual ...
, most likely caused by exposure to carbon monoxide fumes, other noxious gases and/or a lack of sufficient oxygen.


Former site

After the Cocoanut Grove complex was torn down in 1944, the street map of the vicinity changed due to urban renewal, with nearby streets being renamed or built over. The nightclub address was 17 Piedmont Street, in the Bay Village neighborhood near downtown Boston. For decades after the fire, this address was used as a parking lot. Much of the club's former footprint, including what was the main entrance, now lies under the Revere Hotel; only a portion of the club extended out to Shawmut Street. The surviving section of Shawmut Street, and a newer extension cutting through what was the club's original footprint, formerly known as Shawmut Street Extension, were renamed Cocoanut Grove Lane in 2013. In 2015, several condominium residences were constructed on the site, and designated as 25 Piedmont Street.


Memorials

In 1993, the Bay Village Neighborhood Association installed a memorial plaque in the sidewalk—crafted by Anthony P. Marra, youngest survivor of the Cocoanut Grove fire—next to the location where the club formerly stood:
In memory of the more than 490 people who died in the Cocoanut Grove fire on November 28, 1942. As a result of that terrible tragedy, major changes were made in the fire codes, and improvements in the treatment of burn victims, not only in Boston but across the nation. "Phoenix out of the Ashes"
In 2013, a short street running through the former site of the Cocoanut Grove, and previously named Shawmut Street Extension, was renamed Cocoanut Grove Lane. The plaque has been moved several times to some controversy. A committee has been formed to build a more substantial memorial. The Cocoanut Grove fire was the second-deadliest single-building fire in American history; only the 1903 Iroquois Theatre fire in
Chicago (''City in a Garden''); I Will , image_map = , map_caption = Interactive Map of Chicago , coordinates = , coordinates_footnotes = , subdivision_type = Country , subdivision_name ...
had a higher death toll, of 602. It was only two years after the
Rhythm Club fire The Rhythm Club fire (or The Natchez Dance Hall Holocaust) was a fire in a dance hall in Natchez, Mississippi on the night of April 23, 1940, which killed 209 people and severely injured many others. Hundreds of people were trapped inside the buil ...
which had killed 209.'Complete panic' as 233 killed in Brazil nightclub fire
" ''
USA Today ''USA Today'' (stylized in all uppercase) is an American daily middle-market newspaper and news broadcasting company. Founded by Al Neuharth on September 15, 1982, the newspaper operates from Gannett's corporate headquarters in Tysons, Virgi ...
''. January 27, 2013. Retrieved on January 27, 2013.


See also

*
List of nightclub fires This is a list of notable nightclub fires at indoor and outdoor venues. Many involve pyrotechnic failures. See also * List of fires This article is a list of notable fires. Town and city fires Building or structure fires Transportation ...
*Circumstances of the following fires have strong similarities to the Cocoanut Grove nightclub fire: **
The Station nightclub fire The Station nightclub fire occurred on the evening of February 20, 2003, in West Warwick, Rhode Island, United States, killing 100 people and injuring 230. The fire was caused by pyrotechnics set off by the tour manager of the evening's headlini ...
** Lame Horse fire ** Wuwang Club fire ** Kiss nightclub fire ** Club Cinq-Sept fire **
Stardust fire The Stardust fire was a fatal fire which took place at the Stardust nightclub in Artane, Dublin, Ireland, in the early hours of 14 February (Valentine's Day) 1981. Some 800 people had attended a disco there, of whom 48 died and 214 were injure ...
**
Laurier Palace Theatre fire The Laurier Palace Theatre fire, sometimes known as the Saddest fire or the Laurier Palace Theatre crush, occurred in a movie theatre in Montreal, Quebec on Sunday, January 9, 1927. 78 people were killed. The theatre was located at 3215 Saint Ca ...
** UpStairs Lounge arson attack ** Ghost Ship fire


References


Further reading

* (Later editions were titled ''Fire in Boston's Coconut Grove'' and were published by Pan (1962) and Branden Press (1967). Branden Press edition is .) *Esposito, John,
Fire in the Grove: The Cocoanut Grove Tragedy And Its Aftermath
' (2005) . *Keyes, Edward, ''Cocoanut Grove'' (1984) . *Saffle JR, "The 1942 fire at Boston's Cocoanut Grove nightclub", ''Am J Surg'', 1993 Dec;166(6):581-91. *Schorow, Stephanie, ''The Cocoanut Grove Fire'' (2005) . *White, E.J., ''Famous American Disasters'' (1992) .


External links


Cocoanut Grove Memorial Committee
* ttps://web.archive.org/web/20091120030034/http://www.celebrateboston.com/disasters/cocoanut-grove-fire.htm Celebrate Boston: Disasters - Cocoanut Grove Firebr>The Cocoanut Grove Fire - Boston Fire Historical SocietyBoston, MA Cocoanut Grove Club Fire, Nov 1942
GenDisasters.com * {{DEFAULTSORT:Cocoanut Grove Fire 1942 in Massachusetts 1942 fires in the United States Cultural history of Boston Building fires in the United States Fire disasters involving barricaded escape routes Fires in Boston Nightclub fires November 1942 events 1942 disasters in the United States United States in World War II 1940s in Boston