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Earthquake Related Injuries: Assessment of 854 Victims of the 2003 Bam Disaster Transported to Tertiary Referral Hospitals

Published online by Cambridge University Press:  28 June 2012

Hassan Ali Mohebbi ,
Shaban Mehrvarz ,
Masoud Saghafinia ,
Yadollah Rezaei ,
Seyed Mohsen Towliat Kashani ,
Seyed Morteza Moussavi Naeeni ,
Mohammad Hosein Kalantar Motamedi ,
Seyed Hamed Hoseini  and
Yashar Moharamzad
Hassan Ali Mohebbi
Affiliation:
Trauma Research Center, Baqiyatallah Medical Sciences University, Tehran, Iran Department of General Surgery, Baqiyatallah Hospital, Baqiyatallah Medical Sciences University, Tehran, Iran
Shaban Mehrvarz
Affiliation:
Department of General Surgery, Baqiyatallah Hospital, Baqiyatallah Medical Sciences University, Tehran, Iran
Masoud Saghafinia
Affiliation:
Trauma Research Center, Baqiyatallah Medical Sciences University, Tehran, Iran
Yadollah Rezaei
Affiliation:
Trauma Research Center, Baqiyatallah Medical Sciences University, Tehran, Iran
Seyed Mohsen Towliat Kashani
Affiliation:
Department of General Surgery, Baqiyatallah Hospital, Baqiyatallah Medical Sciences University, Tehran, Iran
Seyed Morteza Moussavi Naeeni
Affiliation:
Department of General Surgery, Baqiyatallah Hospital, Baqiyatallah Medical Sciences University, Tehran, Iran
Mohammad Hosein Kalantar Motamedi
Affiliation:
Trauma Research Center, Baqiyatallah Medical Sciences University, Tehran, Iran
Seyed Hamed Hoseini
Affiliation:
Trauma Research Center, Baqiyatallah Medical Sciences University, Tehran, Iran
Yashar Moharamzad*
Affiliation:
Trauma Research Center, Baqiyatallah Medical Sciences University, Tehran, Iran
*
Trauma Research CenterBaqiyatallah Medical Sciences University (BMSU)Molla-sadra Ave, Vanak Sq. Tehran, IranBox Number: 19945/581 E-mail: [email protected]
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Abstract

Background:

In December 2003, the residents of Bam, Iran experienced an earthquake that measured 6.6 on the Richter scale and destroyed >90% of the city. After the assessment and initial treatment of injuries at national and international field hospitals, a considerable number of victims (approximately 12,000) were transferred to tertiary referral hospitals around the country. Objective: This report evaluated the injuries of 854 victims transferred to 12 referral hospitals in Tehran.

Methods:

The demographic data, injury patterns, injury severity score (ISS), diagnosis, treatment, and outcome data of 854 Bam earthquake victims were assessed.

Results:

There were 467 (54.7%) males and 387 (45.3%) females. The mean age of the patients was 29.0 years. Transportation by aircraft was the most common method used for evacuation, which was used to evacuate 555 patients (65%). Fifty-four percent of the victims required initial medical aid at field hospitals before transportation to Tehran. There were 1,322 patients with injuries, of which, fractures of the lower extremities were the most common (331; 25%). Limb fixation was the most commonly performed primary procedure in emergency wards (389 cases, 39.9%). The mean value ±SD for ISS was 6.7 ±5.2. Orthopedic operations were the most frequent surgical procedures performed (195/260 operations, 75%) and the overall mortality rate was 1.6% (n = 14).

Conclusions:

Along with the crucial importance of aid provided by national and international field hospitals in disasters, suitable triage of casualties and preparedness of tertiary referral centers in unaffected regions also play an important role in providing medical care to disaster victims. During these situations, the number of victims cannot be predicted accurately, and sufficient medical care, particularly for orthopedic problems, can be provided by referral centers.

Keywords

Bam earthquakeinjury patternsreferral hospitalstrauma care
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 23 , Issue 6 , December 2008 , pp. 510 - 515
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2008

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References

1.Peek-Asa, C., Ramirez, M: Epidemiology of traumatic injuries from earthquakes. Epidemiol Rev 2005;27:47–55.Google Scholar
2.Emami, MJ, Tavakoli, AR, Alemzadeh, H, et al. : Strategies in evaluation and management of Bam earthquake victims. Prehospital Disast Med 2005;20:327–330.CrossRefGoogle ScholarPubMed
3.Mahoney, LE, Reutershan, TP: Catastrophic disasters and the design of disaster medical care systems. Ann Emerg Med 1987; 16:1085–1091.Google Scholar
4.Reitherman, R: How to prepare a hospital for an earthquake. J Emerg Med 1986;4:119–131.CrossRefGoogle ScholarPubMed
5.Gans, L: Disaster Planning and Management. In: AL, Harwood Nuss (ed): The Clinical Practice of Emergency Medicine. Philadelphia: Lippincott-Raven Publishers, 1996, pp 1511–1513.Google Scholar
6.Akbari, ME, Farshad, AA, Asadi-Lari, M: The devastation of Bam: An overview of health issues 1 month after the earthquake. Public Health 2004;118:403–408.CrossRefGoogle ScholarPubMed
7.World Health Organization: WHO joins international effort to help Bam earthquake survivors. Bull World Health Organ 2004;82:156.Google Scholar
8.Moszynski, P: Cold is the main health threat after the Bam earthquake. BMJ 2004; 328:66.CrossRefGoogle ScholarPubMed
9.Baker, SP, O'Neil, B, Haddon, W Jr, Long, WB: The injury severity score: A method for describing patients with multiple injuries and evaluating emergency care. J Trauma 1974;14:187–196.CrossRefGoogle ScholarPubMed
10.Maurer, A, Morris, JA Jr : Injury Severity Scoring. In: EE, Moore, Feliciano, DV, Mattox, KL (eds). Trauma. 5th ed.New York: McGraw Hill, 2004, p 88.Google Scholar
11.Hussain, LM, Redmond, AD: Are pre-hospital deaths from accidental injury preventable? BMJ 1994;308 :1077–1080.CrossRefGoogle ScholarPubMed
12.Stevenson, M, Segui-Gomez, M, Lescohier, I, et al. : An overview of the injury severity score and the new injury severity score. Inj Prev 2001;7:10–13.CrossRefGoogle ScholarPubMed
13.Briggs, SM, Brinsfield, KH: Advanced Disaster Medical Response. Harvard Medical International Trauma and Disaster Institute 2003.Google Scholar
14.Abolghasemi, H, Poorheidari, G, Mehrabi, A, Foroutan, G: Iranian military forces in the Bam earthquake. Mil Med 2005;170:859–861.CrossRefGoogle ScholarPubMed
15.Abolghasemi, H, Radfar, MH, Khatami, M, et al. : International medical response to a natural disaster: lessons learned from the Bam earthquake experience. Prehospital Disast Med 2006;21:141–147.CrossRefGoogle ScholarPubMed
16.World Health Organization (WHO)/Pan American Health Organization (PAHO): WHO/PAHO guidelines for the use of foreign field hospitals in the aftermath of sudden-impact disasters. Prehospital Disast Med 2003;18:278–290.CrossRefGoogle Scholar
17.Peek-Asa, C., Kraus J, F, Bourque, LB, et al. : Fatal and hospitalized injuries resulting from the 1994 Northridge earthquake. Int J Epidemiol 1998;27:459–465.CrossRefGoogle ScholarPubMed
18.Bulut, M, Fedakar, R, Akkose, S, et al. : Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J 2005;22:494–498.CrossRefGoogle ScholarPubMed
19.Bar-Dayan, Y, Leiba, A, Beard, P, et al. : A multidisciplinary field hospital as a substitute for medical hospital care in the aftermath of an earthquake: The experience of the Israeli Defense Forces Field Hospital in Duzce, Turkey, 1999. Prehospital Disaster Med 2005; 20:103–106.Google ScholarPubMed
20.Bar-Dayan, Y, Beard, P, Mankuta, D, et al. : An earthquake disaster in Turkey: An overview of the experience of the Israeli Defence Forces Field Hospital in Adapazari. Disasters 2000;24:262–270.CrossRefGoogle ScholarPubMed
21.Haynes, BE, Freeman, C., Rubin, JL, , Koehler, et al. : Medical response to catastrophic events: California's planning and the Loma Prieta earthquake. Ann Emerg Med 1992;21:368–374.CrossRefGoogle ScholarPubMed