ارتباط آسيب هاي اسكلتي عضلاني با زمين لرزه

Musculoskeletal Injuries Associated with Earthquake

Background: This is a descriptive analysis, performed on victims of Iranʹs December 2003 Barn earthquake that were referred to tertiary referral trauma management centers in Tehran. Materials and Methods: 210 patients were included in this study. Associated musculoskeletal injuries and renal function of the patients were studied. Results: The mean time under rubble was 1.9 hours with a mean rescue-first medicaid time (transfer time from feild to hospital) 13.5 hours. We had 19 cases of compartment syndrome out of whom 6.7% had impaired renal function. The incidence of compartment syndrome had a direct relation to the time under rubble and the incidence of renal failure was directly related to rescue-first medicaid time. Axial skeleton fractures, among them the lateral compression type pelvic fractures, were specifically common. Fracture associated neural injuries were noticeably more common. Conclusion: Installment of renal protective protocols from the very first hours of injury and implication of more conservative approaches in treatment of fractures in these crush trauma patients and also more training by rescue team, are strongly recommended.