Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake

Yıl: 2023 Cilt: 34 Sayı: 2 Sayfa Aralığı: 480 - 487 Metin Dili: İngilizce DOI: 10.52312/jdrs.2023.1102 İndeks Tarihi: 11-07-2023

Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake

Öz:
Objectives: The aim of this study was to evaluate the benefits of our triage system in acceleration of intervention for the musculoskeletal injuries and clinical follow-ups of trauma patients admitted to our center after the Kahramanmaras earthquake. Patients and methods: Between February 6 th , 2023 and February 20 th , 2023, a total of 439 patients (207 males, 232 females; mean age: 37.1±19.1 years; range, 1 to 94 years) with earthquake-related musculoskeletal injuries after the Kahramanmaras earthquake were retrospectively analyzed. Data including age, sex, referral city information, removal time from the rubbles, physical examination findings, clinical photos, fasciotomy and amputation stumps and levels, and X-ray images and computed tomography images of all patients were shared and archived in the WhatsApp (Meta Platforms, Inc.® ATTN/CA, USA) group called ‘Earthquake’ created by orthopedic surgeons. To complete the patient interventions as soon as possible and to ensure order, the patients were distributed with the teams in order through this group by the consultant orthopedic surgeon. The treatments were applied and recorded according to the skin and soft tissue conditions, and fractures of the patients. All treatments were carried out with a multi-disciplinary approach. Results: Of the patients, 16.2% were children. Lower limb injuries constituted 59.07% of musculoskeletal injuries. Upper limb, pelvic, and spinal cord injuries were observed in 21.9%, 12.7%, and 6.25%, respectively. Conservative treatment was applied to 183 (41.68%) patients. The most common surgical intervention was debridement (n=136, 53.1%). External fixation was applied in the first stage to 21 (8.2%) patients with open fractures. The mean removal time from the rubbles was 32.1±29.38 h. A total of 118 limb fasciotomy operations were applied to the patients. Fifty limb amputations were performed in 40 patients at the last follow-up due to vascular insufficiency and infection. Conclusion: Based on our study results, we believe that a triage system using a good communication and organization strategy is beneficial to prevent treatment delay and possible adverse events in future disasters.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Ozdemir G, KARLIDAĞ T, bingöl o, sarikaya b, Çağlar C, bozkurt i, Akkurt M, MANTI N, GENCER B, Biçici V, Çepni Ş, Köse C, Doğan Ö, inci f, Ceyhan E, yavuz i, Gulcek M, Alkan H, TURAN S, Kılıçarslan K, Doğan M, Ozkurt B, Tecimel O, Solak A, E, Ulgen N, AYDIN T, güllerci a, Keskin O (2023). Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake. , 480 - 487. 10.52312/jdrs.2023.1102
Chicago Ozdemir Guzelali,KARLIDAĞ TANER,bingöl olgun,sarikaya baran,Çağlar Ceyhun,bozkurt ibrahim,Akkurt Mehmet Orçun,MANTI NURETTİN,GENCER BATUHAN,Biçici Vedat,Çepni Şahin,Köse Cem Cüneyt,Doğan Özgür,inci fatih,Ceyhan Erman,yavuz ibrahim alper,Gulcek Murat,Alkan Hilmi,TURAN SUALP,Kılıçarslan Kasım,Doğan Metin,Ozkurt Bulent,Tecimel Osman,Solak Ahmet Şükrü, Enis,Ulgen Nuri Koray,AYDIN Tahsin,güllerci ali murat,Keskin Omer Halit Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake. (2023): 480 - 487. 10.52312/jdrs.2023.1102
MLA Ozdemir Guzelali,KARLIDAĞ TANER,bingöl olgun,sarikaya baran,Çağlar Ceyhun,bozkurt ibrahim,Akkurt Mehmet Orçun,MANTI NURETTİN,GENCER BATUHAN,Biçici Vedat,Çepni Şahin,Köse Cem Cüneyt,Doğan Özgür,inci fatih,Ceyhan Erman,yavuz ibrahim alper,Gulcek Murat,Alkan Hilmi,TURAN SUALP,Kılıçarslan Kasım,Doğan Metin,Ozkurt Bulent,Tecimel Osman,Solak Ahmet Şükrü, Enis,Ulgen Nuri Koray,AYDIN Tahsin,güllerci ali murat,Keskin Omer Halit Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake. , 2023, ss.480 - 487. 10.52312/jdrs.2023.1102
AMA Ozdemir G,KARLIDAĞ T,bingöl o,sarikaya b,Çağlar C,bozkurt i,Akkurt M,MANTI N,GENCER B,Biçici V,Çepni Ş,Köse C,Doğan Ö,inci f,Ceyhan E,yavuz i,Gulcek M,Alkan H,TURAN S,Kılıçarslan K,Doğan M,Ozkurt B,Tecimel O,Solak A, E,Ulgen N,AYDIN T,güllerci a,Keskin O Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake. . 2023; 480 - 487. 10.52312/jdrs.2023.1102
Vancouver Ozdemir G,KARLIDAĞ T,bingöl o,sarikaya b,Çağlar C,bozkurt i,Akkurt M,MANTI N,GENCER B,Biçici V,Çepni Ş,Köse C,Doğan Ö,inci f,Ceyhan E,yavuz i,Gulcek M,Alkan H,TURAN S,Kılıçarslan K,Doğan M,Ozkurt B,Tecimel O,Solak A, E,Ulgen N,AYDIN T,güllerci a,Keskin O Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake. . 2023; 480 - 487. 10.52312/jdrs.2023.1102
IEEE Ozdemir G,KARLIDAĞ T,bingöl o,sarikaya b,Çağlar C,bozkurt i,Akkurt M,MANTI N,GENCER B,Biçici V,Çepni Ş,Köse C,Doğan Ö,inci f,Ceyhan E,yavuz i,Gulcek M,Alkan H,TURAN S,Kılıçarslan K,Doğan M,Ozkurt B,Tecimel O,Solak A, E,Ulgen N,AYDIN T,güllerci a,Keskin O "Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake." , ss.480 - 487, 2023. 10.52312/jdrs.2023.1102
ISNAD Ozdemir, Guzelali vd. "Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake". (2023), 480-487. https://doi.org/10.52312/jdrs.2023.1102
APA Ozdemir G, KARLIDAĞ T, bingöl o, sarikaya b, Çağlar C, bozkurt i, Akkurt M, MANTI N, GENCER B, Biçici V, Çepni Ş, Köse C, Doğan Ö, inci f, Ceyhan E, yavuz i, Gulcek M, Alkan H, TURAN S, Kılıçarslan K, Doğan M, Ozkurt B, Tecimel O, Solak A, E, Ulgen N, AYDIN T, güllerci a, Keskin O (2023). Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake. Joint diseases and related surgery, 34(2), 480 - 487. 10.52312/jdrs.2023.1102
Chicago Ozdemir Guzelali,KARLIDAĞ TANER,bingöl olgun,sarikaya baran,Çağlar Ceyhun,bozkurt ibrahim,Akkurt Mehmet Orçun,MANTI NURETTİN,GENCER BATUHAN,Biçici Vedat,Çepni Şahin,Köse Cem Cüneyt,Doğan Özgür,inci fatih,Ceyhan Erman,yavuz ibrahim alper,Gulcek Murat,Alkan Hilmi,TURAN SUALP,Kılıçarslan Kasım,Doğan Metin,Ozkurt Bulent,Tecimel Osman,Solak Ahmet Şükrü, Enis,Ulgen Nuri Koray,AYDIN Tahsin,güllerci ali murat,Keskin Omer Halit Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake. Joint diseases and related surgery 34, no.2 (2023): 480 - 487. 10.52312/jdrs.2023.1102
MLA Ozdemir Guzelali,KARLIDAĞ TANER,bingöl olgun,sarikaya baran,Çağlar Ceyhun,bozkurt ibrahim,Akkurt Mehmet Orçun,MANTI NURETTİN,GENCER BATUHAN,Biçici Vedat,Çepni Şahin,Köse Cem Cüneyt,Doğan Özgür,inci fatih,Ceyhan Erman,yavuz ibrahim alper,Gulcek Murat,Alkan Hilmi,TURAN SUALP,Kılıçarslan Kasım,Doğan Metin,Ozkurt Bulent,Tecimel Osman,Solak Ahmet Şükrü, Enis,Ulgen Nuri Koray,AYDIN Tahsin,güllerci ali murat,Keskin Omer Halit Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake. Joint diseases and related surgery, vol.34, no.2, 2023, ss.480 - 487. 10.52312/jdrs.2023.1102
AMA Ozdemir G,KARLIDAĞ T,bingöl o,sarikaya b,Çağlar C,bozkurt i,Akkurt M,MANTI N,GENCER B,Biçici V,Çepni Ş,Köse C,Doğan Ö,inci f,Ceyhan E,yavuz i,Gulcek M,Alkan H,TURAN S,Kılıçarslan K,Doğan M,Ozkurt B,Tecimel O,Solak A, E,Ulgen N,AYDIN T,güllerci a,Keskin O Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake. Joint diseases and related surgery. 2023; 34(2): 480 - 487. 10.52312/jdrs.2023.1102
Vancouver Ozdemir G,KARLIDAĞ T,bingöl o,sarikaya b,Çağlar C,bozkurt i,Akkurt M,MANTI N,GENCER B,Biçici V,Çepni Ş,Köse C,Doğan Ö,inci f,Ceyhan E,yavuz i,Gulcek M,Alkan H,TURAN S,Kılıçarslan K,Doğan M,Ozkurt B,Tecimel O,Solak A, E,Ulgen N,AYDIN T,güllerci a,Keskin O Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake. Joint diseases and related surgery. 2023; 34(2): 480 - 487. 10.52312/jdrs.2023.1102
IEEE Ozdemir G,KARLIDAĞ T,bingöl o,sarikaya b,Çağlar C,bozkurt i,Akkurt M,MANTI N,GENCER B,Biçici V,Çepni Ş,Köse C,Doğan Ö,inci f,Ceyhan E,yavuz i,Gulcek M,Alkan H,TURAN S,Kılıçarslan K,Doğan M,Ozkurt B,Tecimel O,Solak A, E,Ulgen N,AYDIN T,güllerci a,Keskin O "Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake." Joint diseases and related surgery, 34, ss.480 - 487, 2023. 10.52312/jdrs.2023.1102
ISNAD Ozdemir, Guzelali vd. "Systematic triage and treatment of earthquake victims: Our experience in a tertiary hospital after the 2023 Kahramanmaras earthquake". Joint diseases and related surgery 34/2 (2023), 480-487. https://doi.org/10.52312/jdrs.2023.1102