Tags

Type your tag names separated by a space and hit enter

Medical evacuation management and clinical characteristics of 3,255 inpatients after the 2010 Yushu earthquake in China.
J Trauma Acute Care Surg. 2012 Jun; 72(6):1626-33.JT

Abstract

BACKGROUND

A catastrophic earthquake struck the Yushu prefecture of China's Qinghai province on April 14, 2010. Supported by the China National Ministry of Health, this study performed a detailed medical analysis of injuries and diseases, based on comprehensive medical data of hospitalized patients to share the experiences and lessons learned from emergency medical aid operations in high-altitude regions.

METHODS

To survey the management of medical relief, more than 10 interviews with rescuers were held and more than 100 documents were reviewed. Medical records of 3,255 patients from 57 hospitals were analyzed retrospectively. Patient demographic data, complaints, diagnoses, prognoses, injury types, dispositions, and means of transportation were all reviewed.

RESULTS

A total of 3,255 patients were admitted to hospitals. Of these, 1,426 (43.8%) were middle-aged (31-50 years), 2,574 (79.07%) were transported by plane, and the first 3 days were the peak period for air transportation. The records of 2,622 patients with earthquake-related injuries were analyzed, and 1,775 (68.32%) of them were admitted to hospital within the first 3 days. Bone fractures were diagnosed in 1,431 (55.08%) patients and crush syndrome was observed in 23 (0.89%). Illnesses accounted for 657 patients who were admitted to surveyed hospitals. Of these, 143 (20.63%) suffered from respiratory diseases and 259 (39.97%) from acute high-altitude sickness. Of the latter, 224 (86.49%) were rescuers. The overall mortality rate was 0.2% (7 of 3,255). Four patients died from earthquake-related injuries and three from other illnesses.

CONCLUSIONS

A devastating earthquake occurring in a remote, high-altitude region presented a variety of challenges for external medical aid. Air transportation for those with severe injuries and diseases played a crucial role in decreasing the mortality and morbidity. It is necessary for hospitals to initiate effective emergency measures while facing the peak admission flow within the initial 72-hour period. Characteristic factors such as high altitude, low-oxygen content, local construction features, and lifestyle may contribute to complex injuries and illnesses. More attention should be paid to medical aid training for rescuers, and effective measures should be developed to deal with destructive natural disasters occurring in special geographical environments.

LEVEL OF EVIDENCE

Epidemiological study, level III.

Authors+Show Affiliations

Institute of Military Health Management, Faculty of Health Service, Second Military Medical University of the Chinese People's Liberation Army, Shanghai, People's Republic of China.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22695432

Citation

Kang, Peng, et al. "Medical Evacuation Management and Clinical Characteristics of 3,255 Inpatients After the 2010 Yushu Earthquake in China." The Journal of Trauma and Acute Care Surgery, vol. 72, no. 6, 2012, pp. 1626-33.
Kang P, Zhang L, Liang W, et al. Medical evacuation management and clinical characteristics of 3,255 inpatients after the 2010 Yushu earthquake in China. J Trauma Acute Care Surg. 2012;72(6):1626-33.
Kang, P., Zhang, L., Liang, W., Zhu, Z., Liu, Y., Liu, X., & Yang, H. (2012). Medical evacuation management and clinical characteristics of 3,255 inpatients after the 2010 Yushu earthquake in China. The Journal of Trauma and Acute Care Surgery, 72(6), 1626-33. https://doi.org/10.1097/TA.0b013e3182479e07
Kang P, et al. Medical Evacuation Management and Clinical Characteristics of 3,255 Inpatients After the 2010 Yushu Earthquake in China. J Trauma Acute Care Surg. 2012;72(6):1626-33. PubMed PMID: 22695432.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Medical evacuation management and clinical characteristics of 3,255 inpatients after the 2010 Yushu earthquake in China. AU - Kang,Peng, AU - Zhang,Lulu, AU - Liang,Wannian, AU - Zhu,Zenghong, AU - Liu,Yuan, AU - Liu,Xu, AU - Yang,Hongyang, PY - 2012/6/15/entrez PY - 2012/6/15/pubmed PY - 2012/9/5/medline SP - 1626 EP - 33 JF - The journal of trauma and acute care surgery JO - J Trauma Acute Care Surg VL - 72 IS - 6 N2 - BACKGROUND: A catastrophic earthquake struck the Yushu prefecture of China's Qinghai province on April 14, 2010. Supported by the China National Ministry of Health, this study performed a detailed medical analysis of injuries and diseases, based on comprehensive medical data of hospitalized patients to share the experiences and lessons learned from emergency medical aid operations in high-altitude regions. METHODS: To survey the management of medical relief, more than 10 interviews with rescuers were held and more than 100 documents were reviewed. Medical records of 3,255 patients from 57 hospitals were analyzed retrospectively. Patient demographic data, complaints, diagnoses, prognoses, injury types, dispositions, and means of transportation were all reviewed. RESULTS: A total of 3,255 patients were admitted to hospitals. Of these, 1,426 (43.8%) were middle-aged (31-50 years), 2,574 (79.07%) were transported by plane, and the first 3 days were the peak period for air transportation. The records of 2,622 patients with earthquake-related injuries were analyzed, and 1,775 (68.32%) of them were admitted to hospital within the first 3 days. Bone fractures were diagnosed in 1,431 (55.08%) patients and crush syndrome was observed in 23 (0.89%). Illnesses accounted for 657 patients who were admitted to surveyed hospitals. Of these, 143 (20.63%) suffered from respiratory diseases and 259 (39.97%) from acute high-altitude sickness. Of the latter, 224 (86.49%) were rescuers. The overall mortality rate was 0.2% (7 of 3,255). Four patients died from earthquake-related injuries and three from other illnesses. CONCLUSIONS: A devastating earthquake occurring in a remote, high-altitude region presented a variety of challenges for external medical aid. Air transportation for those with severe injuries and diseases played a crucial role in decreasing the mortality and morbidity. It is necessary for hospitals to initiate effective emergency measures while facing the peak admission flow within the initial 72-hour period. Characteristic factors such as high altitude, low-oxygen content, local construction features, and lifestyle may contribute to complex injuries and illnesses. More attention should be paid to medical aid training for rescuers, and effective measures should be developed to deal with destructive natural disasters occurring in special geographical environments. LEVEL OF EVIDENCE: Epidemiological study, level III. SN - 2163-0763 UR - https://www.unboundmedicine.com/medline/citation/22695432/Medical_evacuation_management_and_clinical_characteristics_of_3255_inpatients_after_the_2010_Yushu_earthquake_in_China_ L2 - https://doi.org/10.1097/TA.0b013e3182479e07 DB - PRIME DP - Unbound Medicine ER -