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Injury Patterns and Outcomes of Victims After the 2016 Jiangsu Tornado in China: A Retrospective Analysis of Injuries Treated at a Teaching Hospital

Part of: Tornadoes collection

Published online by Cambridge University Press:  25 June 2019

Gen hua Mu ,
Xing Li ,
Shan shan Hou ,
Zhong qian Lu  and
Yi jun Deng
Gen hua Mu
Affiliation:
Emergency and Critical Care Center, Yancheng City No.1 People’s Hospital, Yancheng224005, China
Xing Li
Affiliation:
Emergency and Critical Care Center, Yancheng City No.1 People’s Hospital, Yancheng224005, China
Shan shan Hou
Affiliation:
Pharmacy Department, Yancheng City No.1 People’s Hospital, Yancheng, China
Zhong qian Lu
Affiliation:
Emergency and Critical Care Center, Yancheng City No.1 People’s Hospital, Yancheng224005, China
Yi jun Deng*
Affiliation:
Emergency and Critical Care Center, Yancheng City No.1 People’s Hospital, Yancheng224005, China
*
Correspondence and reprint requests to Yi jun Deng, Emergency and critical care center, Yancheng City No.1 People’s Hospital, No. 66 Renmin South Road, Yancheng 224005, China (e-mail: dengyj2003@163.com).
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Abstract

Objective:

The aim of this study is to characterize the injury profiles and outcomes of victims of a tornado in Jiangsu Province, China.

Methods:

This study retrospectively investigated the clinical records of 144 patients treated at a teaching hospital due to a tornado. Each patient’s demographic data, diagnosis, injury types, causes of injury, infection status, and outcomes were all reviewed.

Results:

Of the 144 patients, 64 (44.4%) were male, and 80 (55.6%) were female. The patients’ ages ranged from 2 months to 94 years; 91 (63.19%) were admitted within the first 12 h after the disaster. The most frequently injured sites were the body surfaces (24.48%), followed by the limbs and pelvis (21.79%) and chest (20.3%). Soft-tissue injuries and fractures were the most frequent injuries. Traumatic brain injuries were the main causes of death. Tornado-related injuries were primarily caused by flying/falling bricks, wood, and glass. Twenty-three (15.9%) patients suffered from infections, which consisted mainly of skin/soft tissue infections and pneumonia.

Conclusions:

Destructive tornadoes often cause heavy casualties with little warning. Medical aid agencies must be prepared to accommodate the massive numbers of injured patients after a catastrophe. Proper triage and prompt treatment of injured victims may decrease mortality. (Disaster Med Public Health Preparedness. 2019;xx:xxx-xxx).

Keywords

tornadoesepidemiologywounds and injuriessoft tissue injuriesfracturesinfection
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 14 , Issue 2 , April 2020 , pp. 208 - 213
Copyright
© 2019 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Fan, W, Xiaoding, YU.Characteristics of spatial-temporal distribution of tornadoes in China. Meteorol Monthly. 2015;41(7):793-805.Google Scholar
Xue, M, Zhao, K, Wang, M, et al. Recent significant tornadoes in China. Adv Atmos Sci. 2016;33(11):1209-1217.CrossRefGoogle Scholar
Jia, H, Pan, D.Tornado disaster impacts and management: learning from the 2016 tornado catastrophe in Jiangsu Province, China. Nat Hazards. 2017;89(1):457-471.CrossRefGoogle Scholar
Doswell, CA III, Brooks, HE, Dotzek, N.On the implementation of the enhanced Fujita scale in the USA. Atmos Res. 2009;93(1-3):554-563.CrossRefGoogle Scholar
Lopes, MC, Whitaker, IY.Measuring trauma severity using the 1998 and 2005 revisions of the abbreviated injury scale. Rev Esc Enferm USP. 2014;48(4):640-647.Google ScholarPubMed
Gennarelli, TA, Wodzin, E. AIS 2005: a contemporary injury scale. Injury. 2006;37(12):1083-1091.CrossRefGoogle Scholar
Salottolo, K, Settell, A, Uribe, P, et al. The impact of the AIS 2005 revision on injury severity scores and clinical outcome measures. Injury. 2009;40(9):999-1003.CrossRefGoogle ScholarPubMed
Daley, WR, Brown, S, Archer, P, et al. Risk of tornado-related death and injury in Oklahoma, May 3, 1999. Am J Epidemiol. 2005;161(12):1144-1150.CrossRefGoogle Scholar
Niederkrotenthaler, T, Parker, EM, Ovalle, F, et al. Injuries and post-traumatic stress following historic tornados: Alabama, April 2011. PLoS One. 2013;8(12):e83038.CrossRefGoogle ScholarPubMed
Millie, M, Senkowski, C, Stuart, L, et al. Tornado disaster in rural Georgia: triage response, injury patterns, lessons learned. Am Surg. 2000;66(3):223-228.Google ScholarPubMed
Guo, H, Chen, CH, Cao, Y, et al. Non-governmental organizations in natural disaster emergency management. North China Earthq Sci. 2011;29(3):13-18.Google Scholar
Sarani, B, Mehta, S, Ashburn, M, et al. The academic medical centre and nongovernmental organisation partnership following a natural disaster. Disasters. 2012;36(4):609-616.CrossRefGoogle ScholarPubMed
Marchigiani, R, Gordy, S, Cipolla, J, et al. Wind disasters: a comprehensive review of current management strategies. Int J Crit Illn Inj Sci. 2013;3(2):130-142.Google ScholarPubMed
Bohonos, JJ, Hogan, DE.The medical impact of tornadoes in North America. J Emerg Med. 1999;17:67-73.Google ScholarPubMed
Brown, S, Archer, P, Kruger, E, et al. Tornado-related deaths and injuries in Oklahoma due to the 3 May 1999 Tornadoes. Weather Forecast. 2002;17(3):343-353.Google Scholar
Lyu, HM, Wang, GF, Cheng, WC, et al. Tornado hazards on June 23 in Jiangsu Province, China: preliminary investigation and analysis. Nat Hazards (Dordr). 2017;85(1):597-604.Google Scholar