A management experience of multiple causalities due to a traffic accident

  • Fukuda Yu
    Department of Emergency Medicine and Critical Care, National Center for Global health and Medicine hospital
  • Kobayashi Kentaro
    Department of Emergency Medicine and Critical Care, National Center for Global health and Medicine hospital
  • Sasaki Ryo
    Department of Emergency Medicine and Critical Care, National Center for Global health and Medicine hospital
  • Sato Takunori
    Department of Emergency Medicine and Critical Care, National Center for Global health and Medicine hospital
  • Uemura Ituki
    Department of Emergency Medicine and Critical Care, National Center for Global health and Medicine hospital
  • Hirose Keika
    Department of Emergency Medicine and Critical Care, National Center for Global health and Medicine hospital
  • Matuda Wataru
    Department of Emergency Medicine and Critical Care, National Center for Global health and Medicine hospital
  • Yamamoto Makiko
    Department of Emergency Medicine and Critical Care, National Center for Global health and Medicine hospital
  • Kimura Akio
    Department of Emergency Medicine and Critical Care, National Center for Global health and Medicine hospital

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Other Title
  • 多数傷病者搬送の対応経験

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<p>We describe our initial management of multiple auto-pedestrian accident casualties. A 46-year-old-man, judged yellow by simple triage and rapid treatment (START), was admitted for right pubic, left acetabular, and left lateral lumbar fractures (L3-4). A 55-year-old-man, judged yellow, was admitted for a Th12 compression fracture. A 27-year-old-woman, judged yellow, was admitted for a degloving injury, requiring aggressive surgery. Moreover, 27-, 43-, 54-year-old-men were brought by ambulances, but discharged because of minor injuries. Previously, 60% cases judged yellow by START were reported to be urgent or severe (red). Thus, the yellow group needs serial examinations. Especially, degloving injuries may be underestimated.</p>

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