Lege Artis Medicinae

[Management of extremity injuries in mass catastrophes]

CZIFFER Endre1

NOVEMBER 30, 1993

Lege Artis Medicinae - 1993;3(11)

[The author details the characteristics of the management of extremity injuries in extreme conditions and describes the significant differences of injury management between extreme and peacetime circumstances. The theme is of great significance these days, owing to the rapidly rising frequency of military and civilian mass casualties and the parity of extremity injuries that reach up to 60%. The ideal devices, mental approach and organizational reflexes also differ from the traditional surgical routine to achieve an effective health service in catastrophe. Therefore preparation and training must be done in peacetime. The role of intuitions, improvisation and flexibility is very important, because there have not been two similar catastrophe situations yet and compromising management replaces the routine medical care. For fracture management special external fixators are preferable that have been developed and deviced for war injuries and that respect the budgetary and logistic aspects of catastrophe management.]

AFFILIATIONS

  1. MH Központi Honvéd Kórház Baleseti Sebészet Budapest

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