Tornado Disaster Casualties Admitted to a County Hospital in the Jiangsu Province of China

Disaster Med Public Health Prep. 2020 Oct;14(5):585-589. doi: 10.1017/dmp.2019.86. Epub 2020 Jan 15.

Abstract

Objective: We analyzed characteristics of tornado-related injuries and medical impact on a county-level hospital in China in June 23, 2016. The objective of this study was to describe and analyze local government rescue responses following the tornado.

Methods: County hospital medical records of 288 tornado-related injury patients were collected. Descriptive analyses to study injury characteristics and associated risk factors were performed.

Results: Of the studied population, 84% of the wounded were older than 45 years. Only 30 (10.4%) people were sent to the hospital for treatment within 3 hours following the disaster. Heavy objects or collapsing houses accounted for 191 (66.3%) of the documented injuries. The proportion of people with resulting brain injuries was 46.2% of the entire injured population, and the incidence of lower extremity injuries was 27.8%. A total of 89.6% of the wounded had skin and soft tissue injuries. Multiple injuries were found in 129 (44.8%) people and 156 had a single injury (54.2%), and 3 cases with acute stress disorder were admitted to the hospital.

Conclusions: Preparation plans, including tornado warnings, prevention, and rescue, are a basic requirement for the mitigation of tornado-related injuries. Protection awareness of tornado disasters is also critical to ensure injury prevention.

Keywords: disaster medicine; tornado-related injuries; tornadoes; trauma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • China / epidemiology
  • Emergency Medical Services / methods
  • Emergency Medical Services / statistics & numerical data*
  • Female
  • Hospitals / statistics & numerical data*
  • Humans
  • Infant
  • Local Government
  • Male
  • Mass Casualty Incidents / classification*
  • Mass Casualty Incidents / statistics & numerical data
  • Middle Aged
  • Tornadoes / mortality
  • Tornadoes / statistics & numerical data*
  • Wounds and Injuries / epidemiology
  • Wounds and Injuries / etiology