title: [Characteristics of the confined space accident and its medical rescue strategy].
abstract: OBJECTIVE
  To investigate the characteristics of the confined space accident and its medical rescue strategy.
  
  
  METHODS
  Thirty-six patients with emergency rescue in the five confined space accident during June 2009 to July 2012 were retrospectively analyzed.
  
  
  RESULTS
  Twenty-nine people were caught in four confined space accidents caused by building collapse and 7 people were caught in one confined space accident caused by a tower of babel blast furnace damage which caused severe gas and hydrogen sulfide poisoning. For the 36 wounded, the shortest rescue time was 1.5 hours and the longest was 10.5 hours. Fourteen people were killed (mortality rate 38.89%). Characteristics of the confined space accident: the wounded activity environment was very harsh, the wounded were restricted particularly, the wounded injuries were diverse, the psychological depression was very common. The confined space environment and the complexity of wounded disease determined its medical rescue specificity and were very different from the usual trauma emergency.
  
  
  CONCLUSIONS
  Confined space accident caused very painful casualties. The key reason is that the relevant personnel failed to clearly recognize the potential risks in the confined space or nearby, making the confined space into another "quiet killer". This problem needs to be paid highly attention.
authors.affiliation: 306th Hospital of the PLA, Beijing, China. yuemx888@163.com
authors.forename: Mao-xing
authors.initials: MX
authors.lastname: Yue
authors.forename: Xi-yi
authors.initials: XY
authors.lastname: Xia
authors.forename: Ying
authors.initials: Y
authors.lastname: Li
authors.forename: Xiao-xing
authors.initials: XX
authors.lastname: Bian
authors.forename: Qi-han
authors.initials: QH
authors.lastname: Zheng
authors.forename: Jin-nan
authors.initials: JN
authors.lastname: Yin
authors.forename: Xiao-cheng
authors.initials: XC
authors.lastname: Zhao
authors.forename: Ai-min
authors.initials: AM
authors.lastname: Cai
mesh_terms: D000059:Accidents; D000328:Adult; D020378:Confined Spaces; D004190:Disasters / Q000517:prevention & control*; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult