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TRIAGE AND MANAGEMENT OF MUSCULOSKELETAL INJURIES DURING EARTHQUAKE

Yıl 2023, Cilt: 86 Sayı: 2, 180 - 184, 30.03.2023

Serkan Bayram Gökhan Polat

https://doi.org/10.26650/IUITFD.1255192

Öz

The harm of earthquakes can be decreased with operative catastrophe planning and successful emergency assistance. First aid and triage organization are essential for the medical care of those trapped under the rubble after the earthquake. Every injury seen in orthopedics and traumatology practice can be observed with being under the rubble; these can be in a spectrum ranging from simple muscle crush to pelvis fracture with vascular injury. The main function of the orthopedist is to perform a quick diagnosis and accurate treatment to save the life and extremities. The first step in the management of limb and axial skeletal injuries is accurate immobilization of the injured region, such as a cervical collar for the cervical spinal segment. Maintaining a safe airway and large-bore intravenous access for hemodynamic stabilization are also priorities in traumatized patients. Surgical procedures related to orthopedics and traumatology can be classified as follows; emergency care, emergency surgeries, delayed surgeries, and planned surgeries. While performing all these surgical procedures, a multidisciplinary approach should be applied to monitor and treat the patient’s general condition.

Anahtar Kelimeler

disaster trauma crush injury amputation extremity salvage

Kaynakça

  • 1. Ellidokuz H, Ucku R, Aydin UY, Ellidokuz E. Risk factors for death and injuries in earthquake: cross-sectional study from Afyon, Turkey. Croat Med J 2005;46(4):613. google scholar
  • 2. Boğaziçi University, Kandilli Observatory and Earthquake Research and Institute, Regional Earthquake-Tsunami Monitoring Center [Boğaziçi Üniversitesi, Kandilli Rasathanesi ve Deprem Araştırma Enstitüsü, Bölgesel Deprem-Tsunami İzleme ve Değerlendirme Merkezi]. Büyük depremler. http://www.koeri.boun.edu.tr/sismo/2/ deprem-bilgileri/buyuk-depremler/ google scholar
  • 3. Noji EK. The public health consequences of disasters. Prehosp Disaster Med 2000;15(14):21-31. [CrossRef] google scholar
  • 4. Bulut M, Fedakar R, Akkose S, Akgoz S, Ozguc H, Tokyay R. Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J 2005;22(7):494-8. [CrossRef] google scholar
  • 5. Peek-Asa C, Kraus JF, Bourque LB, Vimalachandra D, Yu J, Abrams J. Fatal and hospitalized injuries resulting from the 1994 Northridge earthquake. Int J Epidemiol 1998;27(3):459-65. [CrossRef] google scholar
  • 6. West JG, Murdock MA, Baldwin LC, Whalen E. A method for evaluating field triage criteria. J Trauma 1986;26(7):655-9. [CrossRef] google scholar
  • 7. Kuwagata Y, Oda J, Tanaka H, Iwai A, Matsuoka T, Takaoka M, et al. Analysis of 2,702 traumatized patients in the 1995 Hanshin-Awaji earthquake. J Trauma 1997;43(3):427-32. [CrossRef] google scholar
  • 8. K C K, Thapa RK, Khadka S, Paudel D. A study of surgical cases during earthquake disaster in a medical college. JNMA J Nepal Med Assoc 2019;57(215):20-4. [CrossRef] google scholar
  • 9. Laverick S, Kazmi S, Ahktar S, Raja J, Perera S, Bokhari A, et al. Asian earthquake: report from the first volunteer British hospital team in Pakistan. Emerg Med J 2007;24(8):543-6. [CrossRef] google scholar
  • 10. Oda J, Tanaka H, Yoshioka T, Iwai A, Yamamura H, Ishikawa K, et al. Analysis of 372 patients with Crush Syndrome caused by the Hanshin-Awaji earthquake. J Trauma 1997;42(3):470-6. [CrossRef] google scholar
  • 11. Hussami M, Grabherr S, Meuli RA, Schmidt S. Severe pelvic injury: Vascular lesions detected by ante- and post-mortem contrast medium-enhanced CT and associations with pelvic fractures. Int J Legal Med 2017;131(3):731-8. [CrossRef] google scholar
  • 12. Burlew CC, Moore EE, Stahel PF, Geddes AE, Wagenaar AE, Pieracci FM, et al. Preperitoneal pelvic packing reduces mortality in patients with life-threatening hemorrhage due to unstable pelvic fractures. J Trauma Acute Care Surg 2017;82(2):233-42. [CrossRef] google scholar
  • 13. Vaidya R, Waldron J, Scott A, and Nasr K. Angiography and embolization in the management of bleeding pelvic fractures. J Am Acad Orthop Surg 2018;26(4):e68-76. [CrossRef] google scholar
  • 14. Bortolin M, Morelli I, Voskanyan A, Joyce NR, Ciottone GR. Earthquake-related orthopedic injuries in adult population: a systematic review. Prehosp Disaster Med 2017;32(2):201-8. [CrossRef] google scholar
  • 15. Mubarak SJ, Owen CA, Hargens AR, Geretto LP, Akeson WH. Acute compartment syndromes: diagnosis and treatment with the aid of the wick catheter. J Bone Joint Surg Am 1978;60(8):1091-5. [CrossRef] google scholar
  • 16. Guo J, Yin Y, Jin L, Zhang R, Hou Z, Zhang Y. Acute compartment syndrome: Cause, diagnosis, and new viewpoint. Medicine (Baltimore) 2019;98(27):e16260. [CrossRef] google scholar
  • 17. Rajagopalan S. Crush injuries and the Crush Syndrome. Med J Armed Forces India 2010;66(4):317-20. [CrossRef] google scholar
  • 18. Dover M, Memon AR, Marafi H, Kelly G, Quinlan JF. Factors associated with persistent sequelae after fasciotomy for acute compartment syndrome. J Orthop Surg (Hong Kong) 2012;20(3):312-5. [CrossRef] google scholar
  • 19. Wolfson N. Amputations in natural disasters and mass casualties: staged approach. Int Orthop 2012;36(10):1983-8. [CrossRef] google scholar
  • 20. Herard P, Boillot F. Amputation in emergency situations: indications, techniques and Médecins Sans Frontières France’s experience in Haiti. Int Orthop 2012;36(10):1979-81. [CrossRef] google scholar
  • 21. Johansen K, Daines M, Howey T, Helfet D, Hansen ST Jr. Objective criteria accurately predict amputation following lower extremity trauma. J Trauma 1990;30(5):568-672. [CrossRef] google scholar
  • 22. Görmeli G, Görmeli CA, Güner S, Ceylan MF, Dursun R. The clinical profile of musculoskeletal injuries associated with the 2011 Van earthquake in Turkey. Eklem Hastalik Cerrahisi 2012;23(2):68-71. google scholar
  • 23. Awais S, Saeed A, Ch A. Use of external fixators for damage-control orthopaedics in natural disasters like the 2005 Pakistan earthquake. Int Orthop 2014;38(8):1563-8. [CrossRef] google scholar

DEPREM DURUMUNDA KAS-İSKELET YARALANMALARININ TRİYAJ VE YÖNETİMİ

Yıl 2023, Cilt: 86 Sayı: 2, 180 - 184, 30.03.2023

Serkan Bayram Gökhan Polat

https://doi.org/10.26650/IUITFD.1255192

Öz

Etkin afet planlaması ve başarılı acil durum yardımı ile depremin zararı azaltılabilir. Deprem sonrası enkaz altında kalanların tıbbi bakımı için ilk yardım ve triyaj organizasyonu şarttır. Ortopedi ve travmatoloji pratiğinde görülen her yaralanma enkaz altında kalındığında da gözlemlenebilir, bunlar basit kas ezilmesinden damar yaralanmalı pelvis kırığına kadar uzanan bir yelpazede olabilir. Ortopedistin temel işlevi, hızlı teşhis ve doğru tedaviyi yaparak hayatı ve uzuvları kurtarmaktır. Ekstremite ve aksiyal iskelet yaralanmalarının yönetiminde ilk adım yaralı bölgenin doğru şekilde immobilizasyonudur; servikal spinal segment için boyunluk gibi. Güvenli bir hava yolunun sürdürülmesi ve hemodinamik stabilizasyon için geniş çaplı intravenöz erişim de travma geçirmiş hastaların yönetiminin önceliğidir. Ortopedi ve travmatoloji ile ilgili olarak cerrahi işlemler şu şekilde sınıflandırılabilir; acil bakım, acil ameliyatlar, gecikmiş ameliyatlar ve planlı ameliyatlar. Tüm bu cerrahi işlemler yapılırken hastanın genel durumunun takibi ve tedavisi için multidisipliner bir yaklaşım uygulanmalıdır.

Anahtar Kelimeler

Afet travma ezilme yaralanması amputasyon ekstremite kurtarma

Kaynakça

  • 1. Ellidokuz H, Ucku R, Aydin UY, Ellidokuz E. Risk factors for death and injuries in earthquake: cross-sectional study from Afyon, Turkey. Croat Med J 2005;46(4):613. google scholar
  • 2. Boğaziçi University, Kandilli Observatory and Earthquake Research and Institute, Regional Earthquake-Tsunami Monitoring Center [Boğaziçi Üniversitesi, Kandilli Rasathanesi ve Deprem Araştırma Enstitüsü, Bölgesel Deprem-Tsunami İzleme ve Değerlendirme Merkezi]. Büyük depremler. http://www.koeri.boun.edu.tr/sismo/2/ deprem-bilgileri/buyuk-depremler/ google scholar
  • 3. Noji EK. The public health consequences of disasters. Prehosp Disaster Med 2000;15(14):21-31. [CrossRef] google scholar
  • 4. Bulut M, Fedakar R, Akkose S, Akgoz S, Ozguc H, Tokyay R. Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J 2005;22(7):494-8. [CrossRef] google scholar
  • 5. Peek-Asa C, Kraus JF, Bourque LB, Vimalachandra D, Yu J, Abrams J. Fatal and hospitalized injuries resulting from the 1994 Northridge earthquake. Int J Epidemiol 1998;27(3):459-65. [CrossRef] google scholar
  • 6. West JG, Murdock MA, Baldwin LC, Whalen E. A method for evaluating field triage criteria. J Trauma 1986;26(7):655-9. [CrossRef] google scholar
  • 7. Kuwagata Y, Oda J, Tanaka H, Iwai A, Matsuoka T, Takaoka M, et al. Analysis of 2,702 traumatized patients in the 1995 Hanshin-Awaji earthquake. J Trauma 1997;43(3):427-32. [CrossRef] google scholar
  • 8. K C K, Thapa RK, Khadka S, Paudel D. A study of surgical cases during earthquake disaster in a medical college. JNMA J Nepal Med Assoc 2019;57(215):20-4. [CrossRef] google scholar
  • 9. Laverick S, Kazmi S, Ahktar S, Raja J, Perera S, Bokhari A, et al. Asian earthquake: report from the first volunteer British hospital team in Pakistan. Emerg Med J 2007;24(8):543-6. [CrossRef] google scholar
  • 10. Oda J, Tanaka H, Yoshioka T, Iwai A, Yamamura H, Ishikawa K, et al. Analysis of 372 patients with Crush Syndrome caused by the Hanshin-Awaji earthquake. J Trauma 1997;42(3):470-6. [CrossRef] google scholar
  • 11. Hussami M, Grabherr S, Meuli RA, Schmidt S. Severe pelvic injury: Vascular lesions detected by ante- and post-mortem contrast medium-enhanced CT and associations with pelvic fractures. Int J Legal Med 2017;131(3):731-8. [CrossRef] google scholar
  • 12. Burlew CC, Moore EE, Stahel PF, Geddes AE, Wagenaar AE, Pieracci FM, et al. Preperitoneal pelvic packing reduces mortality in patients with life-threatening hemorrhage due to unstable pelvic fractures. J Trauma Acute Care Surg 2017;82(2):233-42. [CrossRef] google scholar
  • 13. Vaidya R, Waldron J, Scott A, and Nasr K. Angiography and embolization in the management of bleeding pelvic fractures. J Am Acad Orthop Surg 2018;26(4):e68-76. [CrossRef] google scholar
  • 14. Bortolin M, Morelli I, Voskanyan A, Joyce NR, Ciottone GR. Earthquake-related orthopedic injuries in adult population: a systematic review. Prehosp Disaster Med 2017;32(2):201-8. [CrossRef] google scholar
  • 15. Mubarak SJ, Owen CA, Hargens AR, Geretto LP, Akeson WH. Acute compartment syndromes: diagnosis and treatment with the aid of the wick catheter. J Bone Joint Surg Am 1978;60(8):1091-5. [CrossRef] google scholar
  • 16. Guo J, Yin Y, Jin L, Zhang R, Hou Z, Zhang Y. Acute compartment syndrome: Cause, diagnosis, and new viewpoint. Medicine (Baltimore) 2019;98(27):e16260. [CrossRef] google scholar
  • 17. Rajagopalan S. Crush injuries and the Crush Syndrome. Med J Armed Forces India 2010;66(4):317-20. [CrossRef] google scholar
  • 18. Dover M, Memon AR, Marafi H, Kelly G, Quinlan JF. Factors associated with persistent sequelae after fasciotomy for acute compartment syndrome. J Orthop Surg (Hong Kong) 2012;20(3):312-5. [CrossRef] google scholar
  • 19. Wolfson N. Amputations in natural disasters and mass casualties: staged approach. Int Orthop 2012;36(10):1983-8. [CrossRef] google scholar
  • 20. Herard P, Boillot F. Amputation in emergency situations: indications, techniques and Médecins Sans Frontières France’s experience in Haiti. Int Orthop 2012;36(10):1979-81. [CrossRef] google scholar
  • 21. Johansen K, Daines M, Howey T, Helfet D, Hansen ST Jr. Objective criteria accurately predict amputation following lower extremity trauma. J Trauma 1990;30(5):568-672. [CrossRef] google scholar
  • 22. Görmeli G, Görmeli CA, Güner S, Ceylan MF, Dursun R. The clinical profile of musculoskeletal injuries associated with the 2011 Van earthquake in Turkey. Eklem Hastalik Cerrahisi 2012;23(2):68-71. google scholar
  • 23. Awais S, Saeed A, Ch A. Use of external fixators for damage-control orthopaedics in natural disasters like the 2005 Pakistan earthquake. Int Orthop 2014;38(8):1563-8. [CrossRef] google scholar
Toplam 23 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Derleme
Yazarlar

Serkan Bayram 0000-0001-7651-1200

Gökhan Polat 0000-0002-5162-6842

Yayımlanma Tarihi 30 Mart 2023
Gönderilme Tarihi 22 Şubat 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 86 Sayı: 2

Kaynak Göster

APA Bayram, S., & Polat, G. (2023). TRIAGE AND MANAGEMENT OF MUSCULOSKELETAL INJURIES DURING EARTHQUAKE. Journal of Istanbul Faculty of Medicine, 86(2), 180-184. https://doi.org/10.26650/IUITFD.1255192
AMA Bayram S, Polat G. TRIAGE AND MANAGEMENT OF MUSCULOSKELETAL INJURIES DURING EARTHQUAKE. İst Tıp Fak Derg. Mart 2023;86(2):180-184. doi:10.26650/IUITFD.1255192
Chicago Bayram, Serkan, ve Gökhan Polat. “TRIAGE AND MANAGEMENT OF MUSCULOSKELETAL INJURIES DURING EARTHQUAKE”. Journal of Istanbul Faculty of Medicine 86, sy. 2 (Mart 2023): 180-84. https://doi.org/10.26650/IUITFD.1255192.
EndNote Bayram S, Polat G (01 Mart 2023) TRIAGE AND MANAGEMENT OF MUSCULOSKELETAL INJURIES DURING EARTHQUAKE. Journal of Istanbul Faculty of Medicine 86 2 180–184.
IEEE S. Bayram ve G. Polat, “TRIAGE AND MANAGEMENT OF MUSCULOSKELETAL INJURIES DURING EARTHQUAKE”, İst Tıp Fak Derg, c. 86, sy. 2, ss. 180–184, 2023, doi: 10.26650/IUITFD.1255192.
ISNAD Bayram, Serkan - Polat, Gökhan. “TRIAGE AND MANAGEMENT OF MUSCULOSKELETAL INJURIES DURING EARTHQUAKE”. Journal of Istanbul Faculty of Medicine 86/2 (Mart 2023), 180-184. https://doi.org/10.26650/IUITFD.1255192.
JAMA Bayram S, Polat G. TRIAGE AND MANAGEMENT OF MUSCULOSKELETAL INJURIES DURING EARTHQUAKE. İst Tıp Fak Derg. 2023;86:180–184.
MLA Bayram, Serkan ve Gökhan Polat. “TRIAGE AND MANAGEMENT OF MUSCULOSKELETAL INJURIES DURING EARTHQUAKE”. Journal of Istanbul Faculty of Medicine, c. 86, sy. 2, 2023, ss. 180-4, doi:10.26650/IUITFD.1255192.
Vancouver Bayram S, Polat G. TRIAGE AND MANAGEMENT OF MUSCULOSKELETAL INJURIES DURING EARTHQUAKE. İst Tıp Fak Derg. 2023;86(2):180-4.
 Kapak Resmi İndir

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