Tropical cyclone Fani-perspective from the trauma and emergency department of an affected tertiary hospital

作     者：Chitta Ranjan Mohanty Mantu Jain Rakesh Vadakkethil Radhakrishnan Prabeer Chandra Mohanty Ritesh panda Mohanty Chitta Ranjan;Jain Mantu;Radhakrishnan Rakesh Vadakkethil;Mohanty Prabeer Chandra;panda Ritesh

作者机构：Department of Trauma and EmergencyAll India Institute of Medical SciencesBhubaneswarIndia Department of OrthopedicsAll India Institute of Medical SciencesBhubaneswarIndia College of NursingAll India Institute of Medical SciencesBhubaneswarIndia 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2020年第23卷第4期

页      面：243-248页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Natural disasters Tropical cyclone Multiple trauma Tertiary care 

摘      要：Purpose:To explore the epidemiological and clinical profile of patients admitted to the trauma and emergency department(TED)of a tertiary care hospital due to tropical cyclone Fani and highlight the challenges faced by the hospital in this natural ***:A retrospective study was conducted in the TED in the affected *** of all victims affected by the cyclone Fani on May 3,2019 were obtained from disaster records and medical case *** patients except death on admission were *** variables included anatomical sites and severity of injuries which was assessed by revised trauma score(RTS)and injury severity score(ISS).Trauma injury severity score(TRISS)was also ***:Of 75 patients,74 were included and the other one was brought dead and thus *** age,median±interquartile range(IQ),was 41.0(27.7-53.0)*** male to female ratio was 2:*** of the wounded were transported by the police control room vans on day 1:first 10 h,50.0%;10-24 h,20.3%.The median±IQ range of RTS,ISS and TRISS were 20(14-28),7.84(7.841-7.841),and 97.4(91.6-98.9),*** external injury was the dominant injury ***(ISS15)was seen in 67%cases and spine injury in 14%cases(7%cervical and 7%thoracolumbar).Injury causes included sharp flying objects(broken pieces of glasses and asbestos)in 31%cases,followed by fall of trees in 20.3%.Twenty-four patients were discharged after primary treatment,30 admitted to the indoor-trauma ward or intensive care unit and 20 deferred or transferred to another *** was no in-house *** were related to electricity failure,mobile network breakdown,infrastructure collapse,and delay in expertise repair from outside due to airport/railway ***:In cyclonic storm like Fani,sharp flying objects,fall of trees/poles and collapsing walls constitute the common mode of injuries causing harm to more than one body *** was seen in the majority of patien