Evidence map›Paper›PMID 27255939›Full record

ArticleWorld journal of surgery2016

Orthopedic Activity in Field Hospitals Following Earthquakes in Nepal and Haiti : Variability in Injuries Encountered and Collaboration with Local Available Resources Drive Optimal Response.

Elhanan Bar-On, Nehemia Blumberg, Amit Joshi, Arnon Gam, Amos Peyser, Evgeny Lee, Shree Krishna Kashichawa, Alexander Morose, Ophir Schein, Amit Lehavi and 2 more

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Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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3 · Its place in the literature

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6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Elhanan Bar-OnSchneider Children's Medical Center, Petah Tikva, Israel. belhanan@gmail.com.
Nehemia BlumbergIsrael Defense Forces Medical Corps, Jerusalem, Israel.
Amit JoshiNepalese Army Institute of Health Sciences, Shree Birendra Hospital, Kathmandu, Nepal.
Arnon GamIsrael Defense Forces Medical Corps, Jerusalem, Israel.
Amos PeyserIsrael Defense Forces Medical Corps, Jerusalem, Israel.
Evgeny LeeIsrael Defense Forces Medical Corps, Jerusalem, Israel.
Shree Krishna KashichawaIsrael Defense Forces Medical Corps, Jerusalem, Israel.
Alexander MoroseIsrael Defense Forces Medical Corps, Jerusalem, Israel.
Ophir ScheinIsrael Defense Forces Medical Corps, Jerusalem, Israel.
Amit LehaviIsrael Defense Forces Medical Corps, Jerusalem, Israel.
Yitshak KreissIsrael Defense Forces Medical Corps, Jerusalem, Israel.
Tarif BaderIsrael Defense Forces Medical Corps, Jerusalem, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundField hospitals have been deployed by the Israel Defense Forces (IDF) Medical Corps in numerous disaster events. Two recent deployments were following earthquakes in Haiti in 2010 and in Nepal in 2015. Despite arrival in similar timetables, the mode of operation was different-independently in Haiti and in collaboration with a local hospital in Nepal. The pathology encountered in the two hospitals and the resultant treatment requirements were significantly different between the two events. The purpose of this study was to analyze these differences and their implications for preparation and planning of future deployments.

methodsData were obtained from IDF records and analyzed using SPSS™ software.

results1686 patients were treated in Nepal versus 1111 in Haiti. The caseload in Nepal included significantly less earthquake-related injuries (26 vs. 66 %) with 28 % of them sustaining fractures versus 47 % in Haiti. Femoral fractures accounted for 7.9 % of fractures in Nepal versus 26.4 % in Haiti with foot fractures accounting for 23.8 and 6.4 %, respectively. The rate of open fracture was similar at 29.4 % in Nepal and 27.5 % in Haiti. 18.1 % of injured patients in Nepal underwent surgery, and 32.9 % of which was skeletal compared to 32 % surgical cases (58.8 % skeletal) in Haiti. 74.2 % of patients in Nepal and 34.3 % in Haiti were treated for pathology unrelated to the earthquake.

conclusionsThe reasons for the variability in activities between the two hospitals include the magnitude of the disaster, the functionality of the local medical system which was relatively preserved in Nepal and destroyed in Haiti and the mode of operation which was independent in Haiti and collaborative with a functioning local hospital in Nepal. Emergency medical teams (EMTs) may encounter variable caseloads despite similar disaster scenarios. Advance knowledge of the magnitude of the disaster, the functionality of the local medical system, and the collaborative possibilities will help in planning and preparing EMTs to function optimally and appropriately. However, as this information will often be unavailable, EMTs should be capable to adapt to unexpected conditions.

Indexed as

Cooperative BehaviorEarthquakesHealth ResourcesOrthopedic ProceduresDisastersFemaleHaitiHospitalsHumansMaleNepalWounds and InjuriesYoung Adult

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.