[Analysis of patients with bone injury in Wenchuan earthquake].
ABSTRACT To evaluate the patients with bone injury in Wenchuan earthquake.
From May 12th to June 15th 2008 the data of 1410 patients with bone injury in Wenchuan earthquake were analyzed to evaluate clinical intervention and remedy-managing experience.
The 1410 patients average age was from 4 to 103 years old. And 744 cases (52.7%) suffered from blunt injuries, 379 cases (26.9%) from buried injuries, 287 cases (20.4%) from falling injuries; And 1317 cases were with fracture, 93 with limbs soft tissue injuries; 261 patients combined with other parts of injuries including 45 cases with paralysis; 66 cases were with crush syndrome, 25 with gas gangrene, 76 with acute kidney failure, 26 with multiple organ failure. And 912 operations were performed including 402 fracture fixation, 224 debridement, 152 debridement and suture, 85 amputation, 29 implant skin, 8 fixation of joint dislocation, 5 surgical flaps transplantation, 4 nerve and tendon suture, 2 arthroscopes, 1 joint replacement. Among the 66 crush syndrome patients, 49 accepted continuous renal replacement therapy, in which 9 cases were bleeding from named arteries and 20 blood vessels were getting embolism. Among the 1410 cases, 1 died from multiple organ failure.
Among the patients with bone injury in Wenchuan earthquake, the elderly patients are more than the youth; The injuries are always combined with other complications; Opened injuries are polluted severely; It is difficult to deal with the crush syndrome; Paraplegia cases are less, but the amputees are more.
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ABSTRACT: To present an overview of mortality, disability, and depression among patients with head injuries admitted to multiple center hospitals after the 2008 Wenchuan earthquake in China. A retrospective analysis was done of the medical records of earthquake victims with head traumas admitted to three different area hospitals; analysis included 18 months of follow-up. Demographic data, causes of injury, diagnosis, clinical classification, treatment, and prognosis were reviewed. This analysis included 1299 victims with craniocerebral injuries admitted to eight hospitals in or near the disaster zone. The victims were divided into three main groups. Group A comprised 68 victims treated in the local hospital; all 68 (100%) were hospitalized during the 24 hours after the earthquake, and 38 (55.88%) victims died 18 months later. Group B comprised 600 victims treated in regional hospitals; 264 (44%) were admitted within 72 hours after the earthquake, and 109 (18.17%) died. Group C comprised 631 victims transported to territory hospitals; 39 (6.18%) were dead at 18 months. Among survivors, 409 (31.48%) victims sustained a disability, and 879 (80.35%) have depression. In the first 72 hours after this major earthquake, the local and regional hospital neurosurgery departments were flooded with numerous victims with craniocerebral injuries. Most of these patients died or were disabled. The territory hospitals with expert neurosurgeons and advanced equipment did not effectively contribute to successful treatment of victims. The mobile hospital played an important role in initial triage and treatment.World Neurosurgery 03/2011; 75(3-4):390-6. DOI:10.1016/j.wneu.2011.02.006 · 2.42 Impact Factor
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ABSTRACT: This study explored demographic variations among victims injured in the 2008 Wenchuan earthquake. The study analyzed records of 2,148 patients who were hospitalized with earthquake-related injuries in 14 hospitals between May 12 and May 21 of 2008. We tested the effects of gender and age on the incidence of fractures and amputations. Although more women than men were hospitalized as earthquake victims, the results indicated that a higher incidence of pelvic fracture in women was the only statistically significant injury with regard to gender. Age had a more complex effect on the rate and pattern of fractures. Children younger than 15years old were the most likely to sustain skull fractures and amputations. The elderly were the most likely to be associated with limb fractures. Adult men were the most likely to suffer spine fractures and adult women rib fractures. The paper concludes with an interpretation of the results in the context of China’s rural conditions and discusses implications for post-disaster emergency operations and planning. KeywordsGender–Age–Injuries–Fractures–Disaster–ChinaNatural Hazards 12/2011; 59(3):1357-1375. DOI:10.1007/s11069-011-9836-2 · 1.96 Impact Factor
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ABSTRACT: To date, the October 2005 earthquake in Pakistan is the third most deadly natural disaster in the world since the 1976 earthquake in China that report-edly killed 255,000 people. 1 This issue of Prehospital and Disaster Medicine includes a report of the pattern of injuries in victims brought to the emergency relief hospital in Doraha, Mansehra. The manuscript presents a unique glimpse into the role of a relief emergency hospital and provides important information that can help plan future response for such events. Mountainous areas everywhere, are a challenge to rescue activities, especially in developing countries in which devastation was massive and resources were stressed beyond their limits. When reading this paper, it is important that the reader remembers the context in which it was written—The Emergency Relief Hospital, Doraha, Mansehra actually was a post-graduate college converted into an emergency relief hospital after the earthquake. It began functioning on the first day fol-lowing the earthquake. The laboratories and lecture halls were converted into operation theatres and intensive care units. Only later, field camps were set-up. This scenario is somewhat similar to the 2001 earthquake in Gujarat, India, where most hospitals collapsed and military hospitals provided initial preliminary care in tents until field hospitals arrived about five days later. 2 The facility described in the manuscript authored by Fahad et al was approxi-mately 40 km from the epicenter, and was approachable via motor vehicles and helicopters carrying the patients from the remote areas. 3 Patients also were trans-ported by their relatives, volunteers, and Pakistan army soldiers who were helping to control the situation.The affected region was so uneven and mountainous, that many of the affected areas remained inaccessible by the rescue teams, even a week after the earthquake, and resulted in dire medical consequences. Beyond these barriers to care, many obstacles further impede the ability to conduct quality scientific research in the aftermath of a disaster. Earthquakes, possibly more than any other event, have the ability to disrupt the lives of a large population due to the physical destruction of homes, clinics, hospitals, schools, roads, water reservoirs, and more. Affected countries often lack the ability and interest in portraying these injuries as all of their resources are con-sumed by treating the wounded and rebuilding their communities. For this reason, there is great importance in this manuscript, despite several limita-tions, as a first-hand documentation of casualties arriving to receive care, Questions about the overall epidemiologic profile of the disaster, such as what happened to those who died on the way to the hospital, or how many died on the scene because they could not be evacuated, remain to be answered else-where. Nevertheless, the current study sheds light on various issues, among them are complications due to delay in care of survivors who made it to the hospital. When comparing the results of the current study to studies of other earthquakes, it is important to remember the difference in the population described. The selectiveness of the treated population in this study hinders the ability to say whether the general findings of this study, in terms of the distri-bution of injured population and their injuries, are similar to those reported for other known earthquake disasters.Prehospital and disaster medicine: the official journal of the National Association of EMS Physicians and the World Association for Emergency and Disaster Medicine in association with the Acute Care Foundation 12/2009; 24(6):540-1. DOI:10.1017/S1049023X00007482