Orthopedics Department, ABC Medical Center.
Acta Ortop Mex. 2020 Jul-Aug;34(4):215-221.
Natural disasters can happen anytime. There is no gold standard for emergency department triaging and setup during these kind of emergencies. On September 19 2017, at 13:14:40, a 7.1 magnitude on the Richter scale earthquake hit Mexico City. Buildings, including hospitals, collapsed. Our hospital offered free medical attention to those affected by the earthquake.
We reviewed the patient database for all patients who had been treated between September 19 and September 24 as a consequence of earthquake related injuries in both campuses. Age, gender, diagnosis, injured part, transportation method to hospital, triage color assigned in the emergency room, campus where attention was received, attention type, time spent in hospital, attention type. We calculated frequencies, medians, and standard deviation of lesions, triage code, and treatment in the emergency room.
After the September 19 2017 earthquake in Mexico City, our hospital treated 184 patients, most were female, most patients were between 21 and 60 years of age, the most common diagnosis were lower extremity trauma (no fractures), lower limb fractures, psychiatric disorders, craneoencephalic trauma and other upper extremity trauma. Most patients received a green triage and were discharged from the emergency department.
Epidemiology of patients treated at our hospital is consistent with epidemiology reported in the literature for earthquake casualties. There was an adequate adaption of the emergency department for the reception and treatment of massive casualties. Patient records were mostly complete. We believe a standardized format designed specifically for these kinds of situations could be of great help in order to keep accurate patient records.
自然灾害随时可能发生。在这种紧急情况下，没有急诊分诊和设置的金标准。2017 年 9 月 19 日 13 时 14 分 40 秒，墨西哥城发生里氏 7.1 级地震。包括医院在内的建筑物倒塌。我们的医院为受地震影响的人提供免费医疗。
我们查阅了 9 月 19 日至 24 日期间因地震受伤在两个校区接受治疗的所有患者的数据库。年龄、性别、诊断、受伤部位、到医院的交通方式、急诊分诊颜色、就诊院区、就诊类型、在医院的停留时间、急诊室的治疗方法。我们计算了病变、分诊代码和急诊室治疗的频率、中位数和标准差。
墨西哥城 2017 年 9 月 19 日地震后，我院共收治 184 例患者，其中女性居多，年龄多在 21 至 60 岁之间，最常见的诊断为下肢创伤（无骨折）、下肢骨折、精神障碍、颅脑创伤和其他上肢创伤。大多数患者接受绿色分诊并从急诊部出院。
我院治疗的患者的流行病学与文献报道的地震伤亡流行病学一致。急诊部有足够的适应能力来接收和治疗大量伤员。患者记录大多完整。我们相信，为这种情况专门设计的标准化格式将非常有助于保持准确的患者记录。
