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.	卢世璧.地震伤的特点.地震, 1981, 1 (1):3.
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13.	Sirmali M, Türüt H, Topçu S, et al. A comprehensive analysis of traumatic rib fractures:morbidity, mortality and management. Eur J Cardiothorac Surg, 2003, 24 (1):133-138.
14.	刘伦旭, 石应康.地震胸部损伤救治的几个问题.创伤外科杂志, 2009, 11 (3):283-287.
15.	胡海, 何庆.汶川地震中直升机转运伤员760例.中华急诊医学杂志, 2008, 17 (9):908-910.
16.	郑轶峰, 姜建青, 周凯, 等.汶川山区地震51例胸外伤伤情分析.重庆医学, 2010, 39 (1):103-104.
17.	潘奇, 杜东鹏, 姜文雄. 36例玉树地震后送伤员伤情特点及治疗措施分析.创伤外科杂志, 2011, 13 (2):152-154.
18.	吴梅祥, 钱东阳, 白波, 等.汶川地震后方医院救治的患者病情特点及治疗对策.中国医药导报, 2009, 6 (16):207-209.
19.	王炳臣, 黄抗美, 林咏杰, 等.汶川地震转诊伤员36例诊疗分析.交通医学, 2009, 23 (4):406-407.
20.	刘智勇, 王丽馨, 杨帆, 等. 91例汶川地震受伤患者病原菌感染情况及药物敏感性分析.中华医院感染学杂志, 2009, 19 (14):1887-1890.

1. 蒲强, 马林, 刘成武, 等.芦山地震所致胸部外伤17例临床分析.中国胸心血管外科临床杂志, 2013, 20 (5):515-517.
2. 石应康.从汶川至芦山:地震医疗救援投入产出效益评估.中国胸心血管外科临床杂志, 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. 石应康, 杨建, 田子朴, 等.不同时期胸部创伤的特点及救治经验.中国胸心血管外科临床杂志, 1998, 5 (2):6-8.
6. 谢娟, 杜亮, 夏天, 等.四川大学华西医院1861例汶川地震住院和死亡伤员伤情与死因分析.中国循证医学杂志, 2008, 8 (8):591-596.
7. 薛欣盛, 张中伟, 周琰, 等.汶川地震死亡相关因素分析.中国呼吸与危重监护杂志, 2008, 7 (4):245-247.
8. 李可可, 宋庆青, 刘文峰, 等.胸部创伤损伤严重度评估及死亡原因分析.中国胸心血管外科临床杂志, 2008, 15 (6):428-431.
9. 王一镗.努力提高严重创伤的现场救治.中华急诊医学杂志, 2006, 15 (9):777.
10. 李旭, 马建强, 王曦, 等. 127例严重胸外伤治疗分析.创伤外科杂志, 2013, 15 (4):357-357.
11. 卢世璧.地震伤的特点.地震, 1981, 1 (1):3.
12. 王正国.地震灾害的特点及其所致创伤的救治.中华创伤杂志, 2008, 24 (6):401-404.
13. Sirmali M, Türüt H, Topçu S, et al. A comprehensive analysis of traumatic rib fractures:morbidity, mortality and management. Eur J Cardiothorac Surg, 2003, 24 (1):133-138.
14. 刘伦旭, 石应康.地震胸部损伤救治的几个问题.创伤外科杂志, 2009, 11 (3):283-287.
15. 胡海, 何庆.汶川地震中直升机转运伤员760例.中华急诊医学杂志, 2008, 17 (9):908-910.
16. 郑轶峰, 姜建青, 周凯, 等.汶川山区地震51例胸外伤伤情分析.重庆医学, 2010, 39 (1):103-104.
17. 潘奇, 杜东鹏, 姜文雄. 36例玉树地震后送伤员伤情特点及治疗措施分析.创伤外科杂志, 2011, 13 (2):152-154.
18. 吴梅祥, 钱东阳, 白波, 等.汶川地震后方医院救治的患者病情特点及治疗对策.中国医药导报, 2009, 6 (16):207-209.
19. 王炳臣, 黄抗美, 林咏杰, 等.汶川地震转诊伤员36例诊疗分析.交通医学, 2009, 23 (4):406-407.
20. 刘智勇, 王丽馨, 杨帆, 等. 91例汶川地震受伤患者病原菌感染情况及药物敏感性分析.中华医院感染学杂志, 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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