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

Yıl 2016, Cilt: 43 Sayı: 4, 542 - 548, 25.12.2016

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

Öz

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.

Anahtar Kelimeler

Bomb explosions, emergency department managenet

Kaynakça

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