One of the causes of amputation is natural disasters such as floods, earthquakes and industrial accidents. These accidents cause fundamental and irreparable problems every year. These factors cause many orthopedic injuries. This article deals with the problems that arise after natural disasters, such as the syndrome, surgery and amputation of the patient’s leg to help you deal with difficult situations and such. Then join the medical team of Hamian Teb Lian to learn more about the dangers of syndromes and amputation due to natural disasters.
Amputation due to natural disasters
Due to natural disasters such as earthquakes, floods, storms, etc., many people suffer from physical and mental problems. Therefore, the rescue forces rushed to the scene to help the patients. These forces must have sufficient knowledge of the problems ahead as well as the methods of treating them; Because some of these accidents cause people to die even after being rescued. Having enough information in this field, even in a country like Iran, which is very earthquake-prone, ز is necessary for everyone.
What are the amputation injuries due to natural disasters?
During earthquakes and other natural disasters, the mechanism of damage is mostly long-lasting, accompanied by crushing and damage to soft tissues. These factors cause infection and increase the rate of amputation; Because severe injuries cause deep and severe wounds and if treated incorrectly can lead to severe infections and poor blood circulation in the limb.
Severe infection also causes antibiotics to become ineffective, in which case the doctor has no choice but to amputate the patient’s leg. Therefore, before treating the wound, proper resuscitation should be performed and antibiotics and tetanus toxoin should be injected into the person. To treat this problem, various protocols are needed, which can be used by the doctor to quickly diagnose the difference between amputation, crushing syndrome, compartment syndrome, and actual injury, and begin the healing process.
Types of syndrome caused by amputation due to natural disasters
Crash or crush injury: This syndrome causes blood supply to the limbs due to direct and intense pressure on the soft tissues, skin, muscles, nerves and blood vessels. Muscle cells die about 6 hours after the blood supply to the muscle is cut off, and as a result, their contents are released, and if a person is rescued from the rubble, severe pressure is applied to the kidneys. Crash damage is sometimes associated with amputation or kidney failure. Crash injuries can lead to compartment syndrome and with or without skeletal injuries.
Compartment Syndrome: This syndrome is caused by pressure on muscle tissue and if the pressure increases, it reduces blood flow to the tissues and muscles, resulting in amputation of the leg. If left untreated, this syndrome can lead to dire consequences such as necrosis and amputation. Acute treatment of compartment syndrome can be done using a fasciotomy, in which the pressure is removed from the tissue and the wounds close within a few days if the infection becomes severe or the tissue is completely destroyed. No amputation.
Crash syndrome: Clinically detectable by ischemic changes in muscles that are rhabdomyolyzed. Such symptoms may include swelling, redness of the skin, pain even when inactive, and paresthesia. To treat this syndrome, the doctor mainly focuses more on the function of the patient’s heart, kidneys, blood circulation and metabolism.
