Challenges of Mass Casualty Management at a Regional Trauma Centre in Sub-Saharan Africa

Oboirien, Muhammad

doi:10.4236/health.2014.66068

Cited by 1 publication

(4 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The most commonly reported MCI in the present study was RTA (55%), consistent with other studies from other countries. [ 5 6 7 8 ] The growing motorization and availability of high-speeding vehicles pose a tremendous threat to road safety concerns and account for a significant cause of mass-trauma events. [ 15 ] A study from India revealed that RTAs claimed nearly 151,113 lives in 2019 and rendered 451,361 people injured among various age groups.…”

Section: Discussionmentioning

confidence: 99%

“…This is in contrast to a study by Oboirien who reported direct patients from the disaster scene. [ 5 ] The prehospital services are suboptimal in India. Thus, the MCI victims are first taken to the nearest HCFs and further ferried to higher centers.…”

Section: Discussionmentioning

confidence: 99%

“…Male predominance was noted in the trauma-related MCI victims, which is concurrent with the findings of other epidemiological studies related to trauma from India and other nations. [ 5 12 15 ] Females exhibited a preponderance in the gas cylinder blast injuries due to their increased involvement in household activities. A significant difference was observed in the median age of various trauma MCI victims, with RTA victims being the youngest of all.…”

Section: Discussionmentioning

confidence: 99%

“…The scenario is worse in densely populated and developing countries. [ 5 ] A few studies have examined consecutive MCIs,[ 6 7 8 9 10 ] and several studies and stakeholders consider these MCIs as specific individual incidents in a particular geographical area. [ 11 ] India differs from other countries due to its enormous but diverse geographical and sociocultural zones.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Epidemiology of mass casualty incidents in a tertiary care trauma center in eastern India

Radhakrishnan

Mohanty

Stephen

et al. 2022

Turkish Journal of Emergency Medicine

View full text Add to dashboard Cite

OBJECTIVES: Disasters and mass casualty incidents (MCIs) that cause substantial mortality and morbidity have been increasing worldwide. The emergency department (ED) services manage MCIs by optimizing triage and providing health care with required resources. The present study attempted to describe the epidemiological characteristics and outcomes of MCIs presenting to the ED. METHODS: The present retrospective observational study was conducted at the ED of a tertiary care hospital on patients of MCI for 4 years from 2017 to 2021. The data were extracted from the ED disaster records and other paper-based patient records. Information on patient demography, date and time of arrival, mode of transport, method of arrival (direct or referral), type and mechanism of MCI, ED management, and outcome were recorded. Statistical analysis was performed using R, version 4.1.0. RESULTS: Analysis of 21 MCIs was conducted. Road traffic accidents (RTAs) were the predominant cause of MCIs. The majority of MCI victims, except for those of blast injuries, were men. The victims in medical emergencies were significantly younger than those in other MCI groups ( P < 0.001). The majority of patients were brought to ED through ambulance services ( n = 120 [47.1%]), followed by private vehicles ( n = 112 [44.2%]). Most of the MCI victims ( n = 143 [56.2%]) were brought to the ED during evening hours (4 pm–8 pm). The majority of victims belonged to the “Red” triage category ( n = 110 [43.3%]). The injury severity score was significantly higher ( P = 0.014) in the disaster group than in other trauma MCI groups (20 vs. 17). Autorickshaw occupants were the most common victims of mass casualty RTAs ( n = 38 [40%]). Suturing ( n = 97 [50%]) and dressing ( n = 167 [88%]) were the most common ED procedures required by the victims of trauma MCIs. Of the total, 167 (66%) patients were discharged from the ED, 47 (19%) patients were admitted to wards, 13 (5%) patients were admitted to intensive care units, and 24 (9%) patients got referred to other centers. In addition, two patients died in the ED during treatment, whereas one patient was brought dead. CONCLUSIONS: RTAs dominate the MCIs and are affecting the young producative male population. The present study exhibited the severity of the cases in MCIs and their impact in the health-care setting, therefore signifying the importance of standardized MCI management protocols.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%