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Supercourse PPT: Lec13051
Eric K. Noji
Unconscious patients with
either upper airway obstruction or inhalation injury or any patients
with
correctable hypovolemia resulting from hemorrhage or burns would be
especially likely to benefit from early medical intervention.
Safar, studying the 1980 earthquake in Italy, concluded that
25% to 50% of victims who were injured and died slowly could have
been saved if life-saving first aid had been rendered immediately
(114).
Data from the 1976 earthquake
in Guatemala
(115,116), the 1985 Mexico City earthquake (29), the 1988
Armenian earthquake (33), and the 1992 earthquake in Egypt
(86) showed that injured people usually seek emergency medical
attention only during the first 3 to 5 days following the
earthquake, after which hospital case-mix patterns return almost to
normal. From Day 6 onward,
the need for emergency medical attention declined rapidly and the
majority of the wounded required only ambulatory medical
attention--indicating that specialized field hospitals that arrive 1
week or more after an earthquake are generally too late to help
during the emergency phase.
Following the 1992 earthquake in Egypt, nearly 70% of all patients
with earthquake-related injuries were admitted within the first 36
hours after this earthquake (86).
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