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

Chinese Journal of Traumatology 2020年第4期23卷 243-248页

作者： Chitta Ranjan mohanty Mantu Jain Rakesh Vadakkethil Radhakrishnan prabeer chandra mohanty Ritesh panda Department of Trauma and Emergency All India Institute of Medical SciencesBhubaneswarIndia Department of Orthopedics All India Institute of Medical SciencesBhubaneswarIndia College of Nursing All India Institute of Medical SciencesBhubaneswarIndia

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 ***(ISS>15)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

关键词： Natural disasters Tropical cyclone Multiple trauma Tertiary care

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