Factors affecting survival of children after abdominal trauma in Lebanese civil war

Slim, Michel S.; Her, Charles; Akel, Samir; Dajani, Omar M.; Hajj, Hani; Baraka, Anis

doi:10.1007/bf00179660

Cited by 1 publication

(1 citation statement)

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“…This overwhelming presence of penetrating wounds was also noted by other authors ranging between 70% and 100%. [ 22 23 ] In our society, where blunt trauma predominates in peace time, this unprecedented high level of penetrating trauma reflects the magnitude of investment in acquisition of illegal and dangerous weapons preparatory to the resort to violence to settle lingering sociopolitical grievances. Given that modern battle no longer aims primarily at resisting the advancement of opposing army, but at undermining the opponents' overall political, economic, sociocultural and psychological infrastructure by inflicting devastating injuries; this high investment may hardly be surprising.…”

Section: Discussionmentioning

confidence: 99%

Abdominal injuries in communal crises: The Jos experience

Ojo

Ozoilo

Sule

et al. 2016

J Emerg Trauma Shock

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Background:Abdominal injuries contribute significantly to battlefield trauma morbidity and mortality. This study sought to determine the incidence, demographics, clinical features, spectrum, severity, management, and outcome of abdominal trauma during a civilian conflict.Materials and Methods:A prospective analysis of patients treated for abdominal trauma during the Jos civil crises between December 2010 and May 2012 at the Jos University Teaching Hospital.Results:A total of 109 victims of communal conflicts with abdominal injuries were managed during the study period with 89 (81.7%) males and 20 (18.3%) females representing about 12.2% of the total 897 combat related injuries. The peak age incidence was between 21 and 40 years (range: 3–71 years). The most frequently injured intra-abdominal organs were the small intestine 69 (63.3%), colon 48 (44%), and liver 41 (37.6%). Forty-four (40.4%) patients had extra-abdominal injuries involving the chest in 17 (15.6%), musculoskeletal 12 (11%), and the head in 9 (8.3%). The most prevalent weapon injuries were gunshot 76 (69.7%), explosives 12 (11%), stab injuries 11 (10.1%), and blunt abdominal trauma 10 (9.2%). The injury severity score varied from 8 to 52 (mean: 20.8) with a fatality rate of 11 (10.1%) and morbidity rate of 29 (26.6%). Presence of irreversible shock, 3 or more injured intra-abdominal organs, severe head injuries, and delayed presentation were the main factors associated with mortality.Conclusion:Abdominal trauma is major life-threatening injuries during conflicts. Substantial mortality occurred with loss of nearly one in every 10 hospitalized victims despite aggressive emergency room resuscitation. The resources expenditure, propensity for death and expediency of timing reinforce the need for early access to the wounded in a concerted trauma care systems.

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Section: Discussionmentioning

confidence: 99%