Pattern of head injuries in the recent megaearthquakes in Nepal: an audit to prepare for future!

Introduction and Objective: Nepal falls in very high risk zone for earthquakes. Recently in April 2015, we witnessed the worst human casualty of this century. We present an audit of the head injuries we received at KMCTH during the Mega-earthquake. Materials and Methods: We did an audit of the act...

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Autores principales:	Renu Vaidhya, Archana Joshi, Karjome Lama, Bidur KC, Bikram Shakya, Amit Thapa
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	disaster planning. mega-earthquake neurotrauma stroke Surgery RD1-811
Acceso en línea:	https://doaj.org/article/7c17b713e1704d45bb335712d1279078
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spelling	oai:doaj.org-article:7c17b713e1704d45bb335712d12790782021-12-05T19:16:37ZPattern of head injuries in the recent megaearthquakes in Nepal: an audit to prepare for future!10.3126/jssn.v18i3.152971815-39842392-4772https://doaj.org/article/7c17b713e1704d45bb335712d12790782016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15297https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction and Objective: Nepal falls in very high risk zone for earthquakes. Recently in April 2015, we witnessed the worst human casualty of this century. We present an audit of the head injuries we received at KMCTH during the Mega-earthquake. Materials and Methods: We did an audit of the activities of the department of neurological surgery at KMCTH, during the megaearthquake to identify the pattern of head injuries and make disaster plan for future. Results: We served more than 150 patients in the emergency who approached with head injuries. Majority were concussion with scalp lacerations and after few hours of observations were discharged. However 34 required surgical intervention with 22 being craniotomies for skull base repair and contusions. Strokes also presented during this period possibly due to emotional stress of the happenings. We suffered a double whammy of internal and external disaster as the staff were also threatened and repeated tremors make it difficult to boost the morale and confidence of the service providers. We drafted a disaster protocol for our department in liaison with the hospital and did table top rehearsals for the same. Conclusion: A change in pattern of neurotrauma was seen during the Mega-earthquake. The health facility suffered both internal and external disaster. Better preparedness and protocol based approach with coordination at national level would help us to prepare for future. Renu VaidhyaArchana JoshiKarjome LamaBidur KCBikram ShakyaAmit ThapaSociety of Surgeons of Nepalarticledisaster planning. mega-earthquakeneurotraumastrokeSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	disaster planning. mega-earthquake neurotrauma stroke Surgery RD1-811
spellingShingle	disaster planning. mega-earthquake neurotrauma stroke Surgery RD1-811 Renu Vaidhya Archana Joshi Karjome Lama Bidur KC Bikram Shakya Amit Thapa Pattern of head injuries in the recent megaearthquakes in Nepal: an audit to prepare for future!
description	Introduction and Objective: Nepal falls in very high risk zone for earthquakes. Recently in April 2015, we witnessed the worst human casualty of this century. We present an audit of the head injuries we received at KMCTH during the Mega-earthquake. Materials and Methods: We did an audit of the activities of the department of neurological surgery at KMCTH, during the megaearthquake to identify the pattern of head injuries and make disaster plan for future. Results: We served more than 150 patients in the emergency who approached with head injuries. Majority were concussion with scalp lacerations and after few hours of observations were discharged. However 34 required surgical intervention with 22 being craniotomies for skull base repair and contusions. Strokes also presented during this period possibly due to emotional stress of the happenings. We suffered a double whammy of internal and external disaster as the staff were also threatened and repeated tremors make it difficult to boost the morale and confidence of the service providers. We drafted a disaster protocol for our department in liaison with the hospital and did table top rehearsals for the same. Conclusion: A change in pattern of neurotrauma was seen during the Mega-earthquake. The health facility suffered both internal and external disaster. Better preparedness and protocol based approach with coordination at national level would help us to prepare for future.
format	article
author	Renu Vaidhya Archana Joshi Karjome Lama Bidur KC Bikram Shakya Amit Thapa
author_facet	Renu Vaidhya Archana Joshi Karjome Lama Bidur KC Bikram Shakya Amit Thapa
author_sort	Renu Vaidhya
title	Pattern of head injuries in the recent megaearthquakes in Nepal: an audit to prepare for future!
title_short	Pattern of head injuries in the recent megaearthquakes in Nepal: an audit to prepare for future!
title_full	Pattern of head injuries in the recent megaearthquakes in Nepal: an audit to prepare for future!
title_fullStr	Pattern of head injuries in the recent megaearthquakes in Nepal: an audit to prepare for future!
title_full_unstemmed	Pattern of head injuries in the recent megaearthquakes in Nepal: an audit to prepare for future!
title_sort	pattern of head injuries in the recent megaearthquakes in nepal: an audit to prepare for future!
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/7c17b713e1704d45bb335712d1279078
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Pattern of head injuries in the recent megaearthquakes in Nepal: an audit to prepare for future!

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