A Bomb Explosion In Diyarbakir: Clinical Findings And Management of Emergency Department

Authors : Mustafa İçer, Yılmaz Zengin, Hasan Mansur Durgun, Recep Dursun, Baran Arı, Mustafa Ekinci, Mehmet Üstündağ, Murat Orak, Cahfer Güloğlu

Pages : 542-548

View : 64 | Download : 9

Publication Date : 2016-12-25

Article Type : Research Paper

Abstract :Objectives: In this study, we present management of emergency department, patients’ clinical findings and mortality analysis after a bomb explosion. Methods: Patients brought to Diyarbakır Dicle University Hospital emergency department after the explosion at 5 June 2015 were retrospectively examined. Patients’ age, gender, triage, system injuries, hypotension, blood transfusion, admission to the ICU, Intensive care unit surgical treatment, amputation and trauma scores (Glasgow Coma Score (GCS), Revised Trauma Score (RTS), Injury Severity Score (ISS), Trauma Score-Injury Severity Score (TRISS), Shock index) were studied. Factors affecting emergency department management and mortality were analyzed. Results: The mean age was found as 29.64±12.88 years in survivors and 36±19.98 years in deaths. GCS, ISS and shock index were found as the factors affecting mortality (p≤0.05). Wounded taken to the resuscitation room, hypotension, blood transfusion, intubation, treatment in ICU and amputation were correlated with mortality (p<0.05). Conclusion: A fast and effective triage system must be applied in EDs following a bomb explosion. The explosion of a bomb on the open areas are the most common injury to the lower extremity injury. Mortality is most often associated with lower limb amputations.
Keywords : Bomb explosions, emergency department managenet

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