Pediatric Orthopedic Unit, Schneider Children's Medical Center, 14 Kaplan St, Petah Tikva 49202, Israel.
Injury. 2011 Oct;42(10):1053-9. doi: 10.1016/j.injury.2011.03.054. Epub 2011 Apr 19.
Following the January 2010 earthquake in Haiti, the Israel Defence Forces (IDF) established a field hospital in Port au Prince. The hospital started operating 89 h after the earthquake. We describe the experience of the orthopaedic department in a field hospital operating in an extreme mass casualty situation. The hospital contained 4 operating table and 72 hospitalization beds. The orthopaedic department included 8 orthopaedic surgeons and 3 residents. 1111 patients were treated in the hospital, 1041 of them had adequate records for inclusion. 684 patients were admitted due to trauma with a total of 841 injuries. 320 patients sustained 360 fractures, 18 had joint dislocations and 22 patients were admitted after amputations. 207 patients suffered 315 soft tissue injuries. 221 patients were operated on under general or regional anaesthesia. External fixation was used for stabilization of 48 adult femoral shaft fractures, 24 open tibial fractures and 1 open humeral fracture. All none femoral closed fractures were treated non-operatively. 18 joint reductions and 23 amputations were performed. Appropriate planning, training, operational versatility, and adjustment of therapeutic guidelines according to a constantly changing situation, enabled us to deliver optimal care to the maximal number of patients, in an overwhelming mass trauma situation.
2010 年 1 月海地地震后，以色列国防军（IDF）在太子港设立了一个野战医院。该医院在地震发生 89 小时后开始运作。我们描述了在极端大规模伤亡情况下在野战医院工作的骨科部门的经验。该医院设有 4 张手术台和 72 张住院病床。骨科部门包括 8 名骨科医生和 3 名住院医师。该医院共收治了 1111 名患者，其中 1041 名患者有足够的记录可供纳入。684 名因创伤住院，共 841 处损伤。320 名患者有 360 处骨折，18 名有关节脱位，22 名患者截肢后住院。207 名患者有 315 处软组织损伤。221 名患者在全身或局部麻醉下接受手术。外固定用于稳定 48 例成人股骨干骨折、24 例开放性胫骨骨折和 1 例开放性肱骨骨折。所有非股骨干闭合性骨折均非手术治疗。进行了 18 次关节复位和 23 次截肢。适当的规划、培训、操作灵活性以及根据不断变化的情况调整治疗指南，使我们能够在压倒性的大规模创伤情况下为尽可能多的患者提供最佳护理。
