Author/Authors :
içer, mustafa dicle university - faculty of medicine - department of emergency medicine, Turkey , zengin, yılmaz dicle university - faculty of medicine - department of emergency medicine, Turkey , durgun, hasan mansur dicle university - faculty of medicine - department of emergency medicine, Turkey , dursun, recep dicle university - faculty of medicine - department of emergency medicine, Turkey , arı, baran dicle university - faculty of medicine - department of emergency medicine, Turkey , ekinci, mustafa dicle university - faculty of medicine - department of emergency medicine, Turkey , üstündağ, mehmet dicle university - faculty of medicine - department of emergency medicine, Turkey , orak, murat dicle university - faculty of medicine - department of emergency medicine, Turkey , güloğlu, cahfer dicle university - faculty of medicine - department of emergency medicine, Turkey
Abstract :
Objectives: In this study, we present management of emergency department, patients’ clinical findings and mortality analysis after a bomb explosion. Methods: Patients brought to Diyarbakır Dicle University Hospital emergency department after the explosion at 5 June 2015 were retrospectively examined. Patients’ age, gender, triage, system injuries, hypotension, blood transfusion, admission to the ICU, Intensive care unit surgical treatment, amputation and trauma scores (Glasgow Coma Score (GCS), Revised Trauma Score (RTS), Injury Severity Score (ISS), Trauma Score-Injury Severity Score (TRISS), Shock index) were studied. Factors affecting emergency department management and mortality were analyzed. Results: The mean age was found as 29.64±12.88 years in survivors and 36±19.98 years in deaths. GCS, ISS and shock index were found as the factors affecting mortality (p≤0.05). Wounded taken to the resuscitation room, hypotension, blood transfusion, intubation, treatment in ICU and amputation were correlated with mortality (p 0.05). Conclusion: A fast and effective triage system must be applied in EDs following a bomb explosion. The explosion of a bomb on the open areas are the most common injury to the lower extremity injury. Mortality is most often associated with lower limb amputations.
