title: Musculoskeletal injuries associated with earthquake. A report of injuries of Iran's December 26, 2003 Bam earthquake casualties managed in tertiary referral centers.
abstract: This is a descriptive analysis, performed on victims of Iran's December 26, 2003 Bam earthquake that were referred to tertiary referral trauma management centre in Tehran. Two hundred and ten patients were included in this study. Associated musculoskeletal injuries and renal function of the patients were recorded. The mean time under rubble was 1.9 h in our patients with a mean rescue to first medical aid time of 13.5 h. We had 19 cases of compartment syndrome and 6.7% of patients 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 to first medical aid time. Axial skeleton fractures, amongst them the lateral compression type pelvic fractures, were particularly common. Fracture associated neural injuries were also common. Institution of renal protective protocols from the very first hours after injury more conservative approaches to treatment of fractures in these crush trauma patients are strongly recommended.
authors.affiliation: Department of Orthopedic and Trauma Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. mntahmasebi@hotmail.com
authors.forename: Mohammad Naghi
authors.initials: MN
authors.lastname: Tahmasebi
authors.forename: Tahmasebi
authors.initials: T
authors.lastname: Mohammad Naghi
authors.forename: Kambiz
authors.initials: K
authors.lastname: Kiani
authors.forename: Kiani
authors.initials: K
authors.lastname: Kambiz
authors.forename: Shahriar Jalali
authors.initials: SJ
authors.lastname: Mazlouman
authors.forename: Jalali Mazlouman
authors.initials: JM
authors.lastname: Shahriar
authors.forename: Afshin
authors.initials: A
authors.lastname: Taheri
authors.forename: Taheri
authors.initials: T
authors.lastname: Afshin
authors.forename: Reza Shahriar
authors.initials: RS
authors.lastname: Kamrani
authors.forename: Shahriar
authors.initials: S
authors.lastname: Kamrani Reza
authors.forename: Behnam
authors.initials: B
authors.lastname: Panjavi
authors.forename: Panjavi
authors.initials: P
authors.lastname: Behnam
authors.forename: Bahador Alami
authors.initials: BA
authors.lastname: Harandi
authors.forename: Alami
authors.initials: A
authors.lastname: Harandi Bahador
mesh_terms: D058186:Acute Kidney Injury / Q000453:epidemiology / Q000209:etiology; D000293:Adolescent; D000328:Adult; D000368:Aged; D001134:Arm Injuries / Q000453:epidemiology / Q000209:etiology; D002648:Child; D003161:Compartment Syndromes / Q000453:epidemiology / Q000209:etiology; D006259:Craniocerebral Trauma / Q000453:epidemiology / Q000209:etiology; D004190:Disasters; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology / Q000209:etiology; D006801:Humans; D015994:Incidence; D007492:Iran / Q000453:epidemiology; D007869:Leg Injuries / Q000453:epidemiology / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009141:Musculoskeletal System / Q000293:injuries*; D010388:Pelvis / Q000293:injuries; D012189:Retrospective Studies; D013124:Spinal Injuries / Q000453:epidemiology / Q000209:etiology; D013997:Time Factors