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2015 Nepal Earthquake: Analysis of Child Rescue and Treatment by a Field Hospital

  • Jun Wang (a1), Hui Ding (a2) (a3), Qi Lv (a2) (a3), Jin-hong Chen (a4), Yan-feng Sun (a1), Hao-jun Fan (a2) (a3) and Qiu-ling Liu (a1)...

Abstract

Objective

To retrospectively analyze the rescue and treatment of pediatric patients by the Chinese Red Cross medical team during the Nepal earthquake relief.

Methods

The medical team set up a field hospital; the pediatric clinic consisted of 1 pediatrician and several nurses. Children younger than 18 years old were placed in the pediatric clinic for injury examination and treatment.

Results

During the 7-day period of medical assistance (the second to third week after the earthquake), a total of 108 pediatric patients were diagnosed and treated, accounting for 2.8% of the total patients. The earthquake-related injuries mainly required surgical dressing and debridement. No severe limb fractures or traumatic brain injuries were found. Infection of the respiratory tract, the gastrointestinal tract, and the skin were the most common ailments, accounting for 42.3%, 18.5%, and 16.7%, respectively, of the total treated patients.

Conclusion

Two to 3 weeks after the earthquake, the admitted pediatric patients mainly displayed respiratory and gastrointestinal infections. When developing a rescue plan and arranging medical resources, we should consider the necessity of treating non–disaster-related conditions. (Disaster Med Public Health Preparedness. 2016;page 1 of 4)

Copyright

Corresponding author

Correspondence and reprint requests to Liu Qiu-ling, General Hospital of Chinese People’s Armed Police Force, Yongding Rd 69, Haidian District, Beijing, China, 100039 (e-mail: liuqiuling86@163.com).

Footnotes

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Wang Jun, Ding Hui, and Lv Qi contributed equally to this work.

Footnotes

References

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1. Nearly 1 million children require urgent humanitarian assistance after Nepal earthquake. The United Nations Children’s Fund Web site. http://www.unicef.org/media/media_81696.html. Accessed 12 May 2015.
2. Norton, I, Schreeb, JV, Aitken, P, et al. Classification and Minimum Standards for Foreign Medical Teams in Sudden Onset Disasters. Geneva, Switzerland: World Health Organization, 2013.
3. International Search and Rescue Advisory Group. INSARAG GUIDELINES VOLUME II, MANUAL C - IEC/R [2015-2-11]. http://www.insarag.org/en/iec/process-a-guidelines. Accessed 3 March 2016.
4. Wang, J, Sun, Y, Miao, L, et al. Status and role of pediatrician in the medical rescue of international disaster. China J Emerg Resusc Disaster Med. 2015;10:146-148.
5. Wang, J, Peng, B, Sun, Y., et al. Analysis on the practice and treatment characteristics of pediatric medical relief after disaster. Chinese Journal of Disaster Medicine. 2015;3(4):192-195.
6. Xiang, B, Liu, J, Li, Y, et al. Reflection on the triage of injured children after the Wenchuan earthquake. Chin J Pediatr Surg. 2009;30:684-687.
7. Alon, F, Amit, A, Itzhac, A, et al. Haiti earthquake 2010: a field hospital pediatric perspective. Eur J Pediatr. 2011;170:519-525.
8. Bulut, M, Fedakar, R, Akkose, S, et al. Medical experience of a university hospital in Turkey after the 1999 Marmara earthquake. Emerg Med J. 2005;22:494-498.
9. Post-earthquake injuries treated at a field hospital—Haiti, 2010. MMWR Morb Mortal Wkly Rep. 2011;59:1673-1677.
10. Ding, H, Fan, H, Yu, B, et al. Analysis on disease spectrum of children after Lushan earthquake. Chin J Disaster Med. 2014;2:191-193.
11. Guha-Sapir, D, van Panhuis, WG. Health impact of the 2004 Andaman Nicobar earthquake and tsunami in Indonesia. Prehosp Disaster Med. 2009;24:493-499.
12. Wang, J, Peng, B, Liu, Q, et al. Preliminary investigation on pediatric medical relief procedure under different disaster conditions overseas. Chin J Disaster Med. 2014;2:487-490.

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