Triage of pediatric injuries after the 2008 Wen-Chuan earthquake in China

Xiang, Bo; Cheng, Wei; Liu, Juxian; Huang, Lugang; Li, Yuan; Liu, Lijun

doi:10.1016/j.jpedsurg.2009.07.068

Cited by 70 publications

(29 citation statements)

References 9 publications

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“…The predominance of orthopedic trauma is similar to the pattern of earthquake injuries reported in the literature [2,6,13,17]. Bulut et al [2] reported that 66% of the patients admitted to their hospital following the 1999 earthquake in Turkey had extremity injuries.…”

Section: Discussionsupporting

confidence: 67%

“…Bulut et al [2] reported that 66% of the patients admitted to their hospital following the 1999 earthquake in Turkey had extremity injuries. Xiang et al [17] reported that orthopedic injuries accounted for 81% of all pediatric injuries following the 2008 earthquake in China [2] reported a 7% prevalence of head injuries during the post-disaster response following the 1999 earthquake in Turkey, but most of these injuries were minor and could be explained, again, by superficial facial or skull injuries. The hospitals' triage algorithm had taken into account three parameters: urgency due to patient condition, hospital resources and the likelihood of saving patients' life.…”

Section: Discussionmentioning

confidence: 99%

“…Older children with straightforward simple, orthopedic diagnoses were referred directly to the orthopedic department for short procedures (such as casts) again, according to capacity. The difficulties of efficient triage after an earthquake were addressed in a study from China [17]. Similar to our system, in order to shorten the triage waiting time, the triage was carried out by senior physician (surgeon or emergency physician).…”

Section: Discussionmentioning

confidence: 99%

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Haiti earthquake 2010: a field hospital pediatric perspective

et al. 2011

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On January 12 2010, a 7.0-magnitude earthquake struck Haiti. The region had suffered an estimated 316,000 fatalities with approximately 300,000 injured and more than 1 million people who lost their houses. Following the quake, the Israeli Defense Force Medical Corps dispatched a field hospital unit to the capital city, Port au Prince. The hospital had a pediatric division which included pediatric emergency department, pediatric ward and neonatal unit. We elaborate on the various aspects of pediatric treatment that was provided by our hospital. A total of 363 pediatric patients (younger than 18 years) were admitted to our facility during its 10 days of operation. Out of this total, 272 pediatric patients were treated by the pediatric division, 79 (29%) were hospitalized and 57 (21%) required surgery. The pediatric team included seven pediatricians, one pediatric surgeon and six registered nurses. An electronic record and a hard copy file were created for each patient. Fifty-seven percent of the children presented with direct earthquake related injuries. Twelve patients required resuscitation and stabilization and three patients had died. The majority of injuries were orthopedic while infectious diseases accounted for most of the general pediatric diagnoses. In conclusion, operating a field hospital for a population affected by natural disaster is a complex mission. However, pediatric care has its own unique, challenging characteristics.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Haiti earthquake 2010: a field hospital pediatric perspective

et al. 2011

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“…Similar results from Iran (25,31), Turkey (26,29), Haiti (32, 33), Nepal (34,35), China (27,36), and Pakistan (18, 37) were reported, demonstrating high prevalence of the lower limb fractures, followed by upper limbs, and pelvis. The proximal bone involvement is greater if the earthquake happens early in the morning (as most people are asleep) and it is assumed that proximal bones are more involved generally (25).…”

Section: Anatomic Distributionsupporting

confidence: 70%

Muskuloskeletal Related Injuries After 2017 Kermanshah Earthquak: A Literature Review

Mortazavi¹,

Ebrahiminasab²,

Farhoud³

et al. 2017

J Orthop Spine Trauma

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Objectives: This study aims to investigate the pattern of Musculoskeletal and soft tissue injuries in a series of referred patients in a tertiary medical center and review previous reports in the literature. Methods: In this study, we recorded musculoskeletal injuries of the victims, following the Kermanshah earthquake on November 12, 2017, with a total number of 38. All patients were admitted to the Imam Khomeini Hospital. Injury type, site of injury, gender, age, complications, mortality, and treatment modality were recorded for each case.Results: Among 38 patients, 18 were male (47%) and 20 were female (53%). The mean age was 37 ± 21.6 years. Most of them were aged between 18 and 65 (71.1%). Lower extremities were involved more than the upper (37% versus 24%) and distal limb involvement was more than the proximal (57.3% versus 43.7%). One patient died due to necrotizing fasciitis and septic shock after femoral shaft open fracture. Two patients developed compartment syndrome and underwent fasciotomy complications by skin necrosis and infection. Conclusions: Soft tissue injuries and fractures are the most common injuries following the earthquakes, hence orthopedic surgeries play a vital role in disasters. Despite patients overload and emergency situation in natural disasters like earthquakes, it is crucial to have a stepwise and evidence based approach for each patient. For the patients with open fractures referred to a tertiary center, careful contamination assessment even in the previously managed wounds is highly recommended, especially for those with early wound closure. Early fasciotomy in the crush syndrome is not beneficial as it has adverse effects such as skin necrosis and infection.

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“…Xiang et al [2] reported that 89% of the injuries were orthopedic traumas with lower limb fracture through studying 119 children after the 2008 Wen-Chuan earthquake in China. A serious trauma often includes the orthopedic injuries, which has a serious impact on the work and daily life after the actual extremities trauma or dysfunction of extremities induced by spinal injury.…”

mentioning

confidence: 99%

Post-Traumatic Stress Disorders on Pediatric Orthopedic Injuries

Dong¹

2014

J Trauma Treat

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Triage of pediatric injuries after the 2008 Wen-Chuan earthquake in China

Cited by 70 publications

References 9 publications

Haiti earthquake 2010: a field hospital pediatric perspective

Haiti earthquake 2010: a field hospital pediatric perspective

Muskuloskeletal Related Injuries After 2017 Kermanshah Earthquak: A Literature Review

Post-Traumatic Stress Disorders on Pediatric Orthopedic Injuries

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