title: Pattern of Injuries and Treatment Given to Victims of Rana Plaza Tragedy in a Level II Armed Forces Medical Facility in Bangladesh.
abstract: Rana Plaza building collapse is the worst industrial disaster of Bangladesh so far. The 9-storied structure collapsed suddenly on April 24, 2013, with more than 4000 people inside. Bangladesh Armed Forces played a key role in the massive rescue operations.
  
  
  
  We conducted a cross-sectional study with 423 victims who were treated at a Combined Military Hospital to review the pattern of injuries and management provided.
  
  
  
  Middle-aged (35±12.75 years) females (68.32%) were the majority of the victims. Among the injured, 42.35% had soft tissue injury, 22.55% had abrasions, 18.79% had fractures, 3.75% had facial injuries, and 2.5% each had head and abdominal injuries. We treated the injured with various surgical approaches, such as soft tissue debridement (38.84%), fasciotomy (18.79%), amputation (3.75%), and other procedures. We had to refer 8.27% of the patients to different advanced centers. The mortality rate was 5.91%, including 1 volunteer rescuer.
  
  
  
  Pattern of injuries and modalities of management needed in an industrial disaster is a valuable experience which can be utilized in preparing to face disasters in the future and beyond. Death of a voluntary rescuer once again warrants the necessity of using a helmet and safety gear during any rescue operation. (Disaster Med Public Health Preparedness. 2017;11:21-24).
authors.affiliation: 1Department of Urology,Combined Military Hospital,Dhaka,Bangladesh.
authors.forename: Shafiul
authors.initials: S
authors.lastname: Alam
authors.affiliation: 2Department of Anesthesia,Combined Military Hospital,Dhaka,Bangladesh.
authors.forename: Rabiul
authors.initials: R
authors.lastname: Alam
authors.affiliation: 4International Center for Cholera & Diarrhoeal Diseases,Bangladesh.
authors.forename: Manirul
authors.initials: M
authors.lastname: Islam
authors.affiliation: 3Department of Neurosurgery,Combined Military Hospital,Dhaka,Bangladesh.
authors.forename: Amin
authors.initials: A
authors.lastname: Salek
mesh_terms: D000293:Adolescent; D000328:Adult; D001459:Bangladesh / Q000453:epidemiology; D003430:Cross-Sectional Studies; D004632:Emergency Medical Services / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D006772:Hospitals, Military / Q000458:organization & administration / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D054527:Mass Casualty Incidents / Q000706:statistics & numerical data*; D008875:Middle Aged; D008889:Military Personnel / Q000706:statistics & numerical data; D018635:Rescue Work / Q000379:methods / Q000592:standards*; D000078329:Workforce; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000401:mortality
keywords: mass casualty incidents; military medicine; structure collapse; wounds and injuries