Comparison of Prehospital Treatment between Victims with Thoracic and Orthopedic Trauma during Lushan Earthquake_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

JIANGYao-wen ¹ , DUMan ² , HEYa-rong ³ , HUHai ¹ , LIUPeng ¹ ,  CAOYu ¹

1. Emergency Department, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. Residency Training Department, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
3. West China School of Clinical Medicine, Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

CAOYu, Email: dr.yu.cao@gmail.com

Keywords：

Earthquake; Thoracic trauma; Prehospital treatment

DOI：

10.7507/1007-4848.20140103

Video：

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Objective To evaluate prehospital treatment strategies of rescuers and first-line hospitals for thoracic trauma victims after Lushan earthquake, and provide reference for making emergency response plans, staff training, and preparedness of material and human resources for future disasters. Methods Clinical data of 365 victims in Lushan '4.20' earthquake who received treatment in West China Hospital were retrospectively analyzed. Among them, 63 victims had thoracic trauma, including 40 males (63.5%)and 23 females (36.5%)with their age of 49.08±19.10 years. There were 244 victims with orthopedic trauma, including 133 males (54.5%)and 111 females (45.4%)with their age of 41.59±22.74 years. Prehospital treatment methods (including specific treatment and general treatment)were compared between thoracic trauma victims and orthopedic trauma victims. Results Among all the thoracic trauma victims, 51 victims required specific pre-hospital treatment, but only 10 (19.6%)victims actually received it. Among all the orthopedic trauma victims, 220 victims required specific prehospital treatment, but actually 162 (73.6%)victims received it. The percentages of thoracic and orthopedic victims who received specific prehospital treatment were statistically different (P < 0.01). There was no statistical difference in the percentage of victims who received general treatment between thoracic and orthopedic trauma victims (P > 0.05). Conclusions Thoracic trauma victims receive less specific prehospital treatment than orthopedic trauma victims from rescuers and first-line hospitals after Lushan earthquake. More specific prehospital treatment is needed for thoracic trauma victims in disaster rescue in the future.

Citation： JIANGYao-wen, DUMan, HEYa-rong, HUHai, LIUPeng, CAOYu. Comparison of Prehospital Treatment between Victims with Thoracic and Orthopedic Trauma during Lushan Earthquake. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2014, 21(3): 375-378. doi: 10.7507/1007-4848.20140103 Copy

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11.	盧世璧.地震傷的特點.地震, 1981, 1 (1):3.
12.	王正國.地震災害的特點及其所致創傷的救治.中華創傷雜志, 2008, 24 (6):401-404.
13.	Sirmali M, Türüt H, Top?u S, et al. A comprehensive analysis of traumatic rib fractures:morbidity, mortality and management. Eur J Cardiothorac Surg, 2003, 24 (1):133-138.
14.	劉倫旭, 石應康.地震胸部損傷救治的幾個問題.創傷外科雜志, 2009, 11 (3):283-287.
15.	胡海, 何慶.汶川地震中直升機轉運傷員760例.中華急診醫學雜志, 2008, 17 (9):908-910.
16.	鄭軼峰, 姜建青, 周凱, 等.汶川山區地震51例胸外傷傷情分析.重慶醫學, 2010, 39 (1):103-104.
17.	潘奇, 杜東鵬, 姜文雄. 36例玉樹地震后送傷員傷情特點及治療措施分析.創傷外科雜志, 2011, 13 (2):152-154.
18.	吳梅祥, 錢東陽, 白波, 等.汶川地震后方醫院救治的患者病情特點及治療對策.中國醫藥導報, 2009, 6 (16):207-209.
19.	王炳臣, 黃抗美, 林詠杰, 等.汶川地震轉診傷員36例診療分析.交通醫學, 2009, 23 (4):406-407.
20.	劉智勇, 王麗馨, 楊帆, 等. 91例汶川地震受傷患者病原菌感染情況及藥物敏感性分析.中華醫院感染學雜志, 2009, 19 (14):1887-1890.

1. 蒲強, 馬林, 劉成武, 等.蘆山地震所致胸部外傷17例臨床分析.中國胸心血管外科臨床雜志, 2013, 20 (5):515-517.
2. 石應康.從汶川至蘆山:地震醫療救援投入產出效益評估.中國胸心血管外科臨床雜志, 2013, 20 (5):497-498.
3. Ziegler DW, Agarwal NN. The morbidity andmortality ofribfractures. J Trauma, 1994, 37 (6):975-979.
4. Toker A, Isitmangil T, Erdik O, et al. Analysis of chest injuries sustained during the 1999 Marmara earthquake. Surg Today, 2002, 32 (9):769-771.
5. 石應康, 楊建, 田子樸, 等.不同時期胸部創傷的特點及救治經驗.中國胸心血管外科臨床雜志, 1998, 5 (2):6-8.
6. 謝娟, 杜亮, 夏天, 等.四川大學華西醫院1861例汶川地震住院和死亡傷員傷情與死因分析.中國循證醫學雜志, 2008, 8 (8):591-596.
7. 薛欣盛, 張中偉, 周琰, 等.汶川地震死亡相關因素分析.中國呼吸與危重監護雜志, 2008, 7 (4):245-247.
8. 李可可, 宋慶青, 劉文峰, 等.胸部創傷損傷嚴重度評估及死亡原因分析.中國胸心血管外科臨床雜志, 2008, 15 (6):428-431.
9. 王一鏜.努力提高嚴重創傷的現場救治.中華急診醫學雜志, 2006, 15 (9):777.
10. 李旭, 馬建強, 王曦, 等. 127例嚴重胸外傷治療分析.創傷外科雜志, 2013, 15 (4):357-357.
11. 盧世璧.地震傷的特點.地震, 1981, 1 (1):3.
12. 王正國.地震災害的特點及其所致創傷的救治.中華創傷雜志, 2008, 24 (6):401-404.
13. Sirmali M, Türüt H, Top?u S, et al. A comprehensive analysis of traumatic rib fractures:morbidity, mortality and management. Eur J Cardiothorac Surg, 2003, 24 (1):133-138.
14. 劉倫旭, 石應康.地震胸部損傷救治的幾個問題.創傷外科雜志, 2009, 11 (3):283-287.
15. 胡海, 何慶.汶川地震中直升機轉運傷員760例.中華急診醫學雜志, 2008, 17 (9):908-910.
16. 鄭軼峰, 姜建青, 周凱, 等.汶川山區地震51例胸外傷傷情分析.重慶醫學, 2010, 39 (1):103-104.
17. 潘奇, 杜東鵬, 姜文雄. 36例玉樹地震后送傷員傷情特點及治療措施分析.創傷外科雜志, 2011, 13 (2):152-154.
18. 吳梅祥, 錢東陽, 白波, 等.汶川地震后方醫院救治的患者病情特點及治療對策.中國醫藥導報, 2009, 6 (16):207-209.
19. 王炳臣, 黃抗美, 林詠杰, 等.汶川地震轉診傷員36例診療分析.交通醫學, 2009, 23 (4):406-407.
20. 劉智勇, 王麗馨, 楊帆, 等. 91例汶川地震受傷患者病原菌感染情況及藥物敏感性分析.中華醫院感染學雜志, 2009, 19 (14):1887-1890.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Comparison of Prehospital Treatment between Victims with Thoracic and Orthopedic Trauma during Lushan Earthquake

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