Περίληψη:
Background: The aim of the study was to assess the emergency response to
an earthquake.
Methods: This retrospective study, based on formal autopsy findings from
111 earthquake-related deaths, evaluated demographic data, circumstances
of death, rescue time, mechanisms of injury, causes of death,
Abbreviated Injury Scale (AIS 90) and Injury Severity Score (ISS)
values, vital functions, co-morbidity and preventable deaths.
Results: The median extrication time for 99 of 102 victims buried or
trapped in collapsed buildings was 2.1 (range 0.1-7.8) days. Deaths were
cause by blunt injuries, asphyxia and myocardial infarction. Injuries
impaired the airway, breathing, circulation, and brain or spinal
functions in 10.5, 61.9, 46.6 and 57.1 percent of the victims
respectively. The 105 injured victims were classified into three main
categories. The first comprised 36 victims (34.3 per cent) with injuries
not compatible with life (ISS 75), the second included 38 victims (36.2
per cent) who suffered life-threatening injuries (ISS 9-74) but had no
evidence of asphyxia, and the third category contained 31 victims (29.5
per cent) with findings of asphyxia and an ISS of 1 - 18. The reviewers
concluded that 13 trauma-related deaths and 31 deaths from asphyxia were
potentially preventable.
Conclusion: A method based on detailed evaluation of deaths provided
information with which to audit the emergency response to an earthquake.
Συγγραφείς:
Papadopoulos, IN
Kanakaris, N
Triantafillidis, A
Stefanakos,
J
Kainourgios, A
Leukidis, C
