Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-23T02:22:59.448Z Has data issue: false hasContentIssue false

Tornado Disaster Casualties Admitted to a County Hospital in the Jiangsu Province of China

Published online by Cambridge University Press:  15 January 2020

Junqiang Dong
Affiliation:
No. 925 Hospital in Guiyang City, Guizhou Province Institute of Military Health Management, Second Military Medical University, Shanghai, China
Bing Wang
Affiliation:
The People’s Hospital of Funing, Yancheng, China
Qiangyu Deng
Affiliation:
Institute of Military Health Management, Second Military Medical University, Shanghai, China
Wenya Yu
Affiliation:
Institute of Military Health Management, Second Military Medical University, Shanghai, China
Haiping Chen
Affiliation:
Institute of Military Health Management, Second Military Medical University, Shanghai, China
Lulu Zhang*
Affiliation:
Institute of Military Health Management, Second Military Medical University, Shanghai, China
*
Correspondence and reprint requests to Lulu Zhang, Department of Military Health Service Management, College of Military Health Service Management, Second Military Medical University, Shanghai 200433, China (e-mail: [email protected]).

Abstract

Objective:

We analyzed characteristics of tornado-related injuries and medical impact on a county-level hospital in China in June 23, 2016. The objective of this study was to describe and analyze local government rescue responses following the tornado.

Methods:

County hospital medical records of 288 tornado-related injury patients were collected. Descriptive analyses to study injury characteristics and associated risk factors were performed.

Results:

Of the studied population, 84% of the wounded were older than 45 years. Only 30 (10.4%) people were sent to the hospital for treatment within 3 hours following the disaster. Heavy objects or collapsing houses accounted for 191 (66.3%) of the documented injuries. The proportion of people with resulting brain injuries was 46.2% of the entire injured population, and the incidence of lower extremity injuries was 27.8%. A total of 89.6% of the wounded had skin and soft tissue injuries. Multiple injuries were found in 129 (44.8%) people and 156 had a single injury (54.2%), and 3 cases with acute stress disorder were admitted to the hospital.

Conclusions:

Preparation plans, including tornado warnings, prevention, and rescue, are a basic requirement for the mitigation of tornado-related injuries. Protection awareness of tornado disasters is also critical to ensure injury prevention.

Type
Original Research
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

JD, BW, and QD contributed equally to this paper and are co-first authors.

References

REFERENCES

Dapeng, H, Shanshan, Z, Ge, G, et al. Disaster characteristics of tornadoes over China during the past 30 years. Torrential Rain Disasters. 2016;35:97101.Google Scholar
Wind Science and Engineering Center. A recommendation for an enhanced Fujita scale (EF-Scale). 2004. https://www.spc.noaa.gov/faq/tornado/ef-ttu.pdf. Accessed January 20, 2019.Google Scholar
Jia, H, Pan, D. Tornado disaster impacts and management: learning from the 2016 tornado catastrophe in Jiangsu Province, China. Nat Hazards. 2017;89:457471.CrossRefGoogle Scholar
GuangmingOnline. Jiangsu Yancheng tornado hail disasters have caused 99 people to die. 2016. http://news.gmw.cn/newspaper/2016-06/26/content_113579470.htm. Accessed July 20, 2016.Google Scholar
TeensHealth. What’s the difference between a treatment and a cure? 2018. https://kidshealth.org/en/teens/curable.html. Accessed January 20, 2019.Google Scholar
Wikipedia. Cure. Last updated in 2019. https://en.wikipedia.org/wiki/Cure_(disambiguation). Accessed January 20, 2019.Google Scholar
World Health Organization (WHO). International Classification of Diseases. 2018. http://www.who.int/classifications/icd/en/. Accessed July 25, 2016.Google Scholar
Gennarelli, TA, Wodzin, E. Association for the Advancement of Automotive Medicine. Abbreviated Injury Scale 2005. Update 2008. J Invest Dermatol. 2011;131:1591.Google Scholar
Baker, SP, O’Neill, B, Haddon, W, et al. The Injury Severity Score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14:187196.CrossRefGoogle ScholarPubMed
Niederkrotenthaler, T, Parker, EM, Ovalle, F, et al. Injuries and post-traumatic stress following historic tornados: Alabama, April 2011. PLoS One [published online December 18, 2013]. doi: 10.1371/journal.pone.0083038.CrossRefGoogle Scholar
Lavoie, A, Emond, M, Moore, L, et al. Evaluation of the Prehospital Index, presence of high-velocity impact and judgment of emergency medical technicians as criteria for trauma triage. CJEM. 2010;12:111119.CrossRefGoogle ScholarPubMed
Champion, HR, Sacco, WJ, Copes, WS, et al. A revision of the Trauma Score. Trauma. 1989;29:623629.Google ScholarPubMed
May, BM, Hogan, DE, Feighner, KR. Impact of a tornado on a community hospital. J Am Osteopath Assoc. 2002;102:225228.Google ScholarPubMed
Liu, M. The status quo and problems in the labor transfer in rural Jiangsu. J Jiangsu University: Social Science Edition. 2016;18:2428.Google Scholar
Red Cross. Tornado safety tips – tornado preparedness. 2009. http://www.redcross.org/get-help/prepare-for-emergencies/types-of-emergencies/tornado. Accessed August 16, 2018.Google Scholar