@article{ref1,
title="Triage and management of mass casualties in a train accident",
journal="Journal of the College of Physicians and Surgeons -- Pakistan : JCPSP",
year="2004",
author="Malik, Zaka Ullah and Pervez, Muhammad and Safdar, Aqeel and Masood, Tahir and Tariq, Muhammad",
volume="14",
number="2",
pages="108-111",
abstract="OBJECTIVE: The purpose of this study was to assess the practicality and usefulness of different scoring systems of triage process in mass casualty management. DESIGN: Descriptive/observational. PLACE AND DURATION OF STUDY: An experience of management of train accident in Balochistan in the year 2003. SUBJECTS AND METHODS: One hundred and twenty-two patients injured in train accident of Quetta Express were included in the study. A trauma team reached the site of the accident. Triage was done at three levels. &quot;Triage sieve&quot; scoring system was used at the site of accident, &quot;field categories of trauma patients&quot; at Primary Health Care Centre, and &quot;ATLS (Advanced Trauma Life Support) secondary survey&quot; at tertiary referral centre. Helicopters and ambulances were used for evacuation of patients. RESULTS: There were 122 injured patients. &quot; Triage sieve &quot; system scored 14(11.47%) patients in priority I, 21(17.21%) patients in priority II, 80(65.57%) patients in priority III and 7(5.73%) dead individuals in priority IV at the site of accident. Casualties clearing time was three and half hours. By utilizing &quot;field categories of trauma patients&quot; at primary health care centre, 7(5.7%) patients were placed in category I who were air lifted, 19(15.57%) patients in category II, 89(72.95%) patients in category III and 7(5.73%) dead remained in category IV. Application of ATLS secondary survey in CMH, Quetta triaged 4(57.14) patients in priority I and 3(42.85) patients in priority II. There was only one death after the triage process started. CONCLUSION: Proper triage, appropriate resuscitation, and timely evacuation definitively decrease morbidity and mortality in trauma patients, and facilitates utilization of the available resources appropriately.<p /><p>Language: en</p>",
language="en",
issn="1022-386X",
doi="02.2004/JCPSP.108111",
url="http://dx.doi.org/02.2004/JCPSP.108111"
}