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Hospitalized tornado victims.

L F Harris1

  • 1School of Primary Medical Care, University of Alabama School of Medicine, Huntsville 35801.

Alabama Medicine : Journal of the Medical Association of the State of Alabama
|January 1, 1992
PubMed
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Tornado injuries in Huntsville primarily involved fractures and soft tissue trauma. Infections, particularly osteomyelitis, were a serious complication, with a 7% hospital mortality rate observed.

Area of Science:

  • Disaster medicine
  • Trauma surgery
  • Infectious diseases

Background:

  • Tornadoes can cause significant injuries requiring immediate medical attention.
  • Understanding injury patterns and complications is crucial for disaster response.

Purpose of the Study:

  • To analyze the clinical findings of patients injured by the November 15, 1989, Huntsville tornado.
  • To identify common injuries, complications, and mortality rates.

Main Methods:

  • Retrospective review of clinical data for 59 patients admitted within 24 hours post-tornado.
  • Categorization of injuries including fractures, soft tissue trauma, and infections.

Main Results:

  • Fractures were the most common injury, predominantly above the waist.

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  • Five fractures resulted in osteomyelitis, with urinary tract and bone infections being most frequent.
  • Aerobic gram-negative bacilli were the primary causative agents of infection.
  • The hospital mortality rate was 7%.

    • Conclusions:

    • Bone fractures and soft tissue trauma are the most prevalent injuries following tornadoes.
    • Infections, especially osteomyelitis, pose a significant risk and require prompt management.
    • Effective disaster medical planning should account for trauma and infection control.