| Autor: |
Rasheed, Muhammad Asif, Tariq, Muhammad, Naz, Aneeqa, Sajjad, Mudassar |
| Předmět: |
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| Zdroj: |
Pakistan Armed Forces Medical Journal; Dec2017, Vol. 67 Issue 6, p1081-1086, 6p |
| Abstrakt: |
Objective: To profile the spectrum of injuries and management of casualities treated in forward treatment centre (FTC) Wana over a period of one year by optimizing the available resources of a Field Hospital. Study Design: Descriptive cross sectional study. Place and Duration of Study: Forward treatment center Wana South Waziristan Agency, from 21 Jan 2014 to 08 Dec 2014. Material and Methods: A total of 62 cases brought in FTC were included in the study. Cases were managed according to Advanced Trauma Life Support (ATLS) protocol. A policy of aggressive resuscitation, early primary repair of injuries and evacuation was followed at our setup. Results: All patients were male with a mean age of 28.1 ± 4.443 yrs. The majority of casualties were military (52 cases, 83.9%) and the major cause of injury was found to be improvised explosive device (33 cases, 53.2%). Extremities were involved in majority of casualties (38 cases, 50.7%). A total number of 91 operations were performed in 62 cases which included 14 laparotomies (15.4%), 21 chest intubations (23%), 9 amputations (9.9%), 19 cases of debridement (20.9%), 10 fasciotomies (11%), 1 tendon repair (1.1%), 10 closed reduction of fractures (11%), 5 closed reduction of dislocations (5.5%) and 2 cases of extremity vascular repair (2.2%). Conclusion: Optimal utilization of limited resources warrants a responsible approach of surgeons towards injured brought at FTCs. A variety of injuries may be encountered by the forward surgical team who can significantly contribute by providing life and limb saving surgery. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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