Pattern of Injuries and Treatment Given to Victims of Rana Plaza Tragedy in a Level II Armed Forces Medical Facility in Bangladesh

Disaster Med Public Health Prep. 2017 Feb;11(1):21-24. doi: 10.1017/dmp.2016.82. Epub 2016 May 16.

Abstract

Background: Rana Plaza building collapse is the worst industrial disaster of Bangladesh so far. The 9-storied structure collapsed suddenly on April 24, 2013, with more than 4000 people inside. Bangladesh Armed Forces played a key role in the massive rescue operations.

Methods: We conducted a cross-sectional study with 423 victims who were treated at a Combined Military Hospital to review the pattern of injuries and management provided.

Results: Middle-aged (35±12.75 years) females (68.32%) were the majority of the victims. Among the injured, 42.35% had soft tissue injury, 22.55% had abrasions, 18.79% had fractures, 3.75% had facial injuries, and 2.5% each had head and abdominal injuries. We treated the injured with various surgical approaches, such as soft tissue debridement (38.84%), fasciotomy (18.79%), amputation (3.75%), and other procedures. We had to refer 8.27% of the patients to different advanced centers. The mortality rate was 5.91%, including 1 volunteer rescuer.

Conclusion: Pattern of injuries and modalities of management needed in an industrial disaster is a valuable experience which can be utilized in preparing to face disasters in the future and beyond. Death of a voluntary rescuer once again warrants the necessity of using a helmet and safety gear during any rescue operation. (Disaster Med Public Health Preparedness. 2017;11:21-24).

Keywords: mass casualty incidents; military medicine; structure collapse; wounds and injuries.

Publication types

  • Observational Study

MeSH terms

  • Adolescent
  • Adult
  • Bangladesh / epidemiology
  • Cross-Sectional Studies
  • Emergency Medical Services / methods*
  • Emergency Medical Services / statistics & numerical data
  • Female
  • Hospitals, Military / organization & administration
  • Hospitals, Military / statistics & numerical data
  • Humans
  • Male
  • Mass Casualty Incidents / statistics & numerical data*
  • Middle Aged
  • Military Personnel / statistics & numerical data
  • Rescue Work / methods
  • Rescue Work / standards*
  • Workforce
  • Wounds and Injuries / epidemiology*
  • Wounds and Injuries / mortality