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Updated: May 4, 2026

Maintenance of a Lateral Fluid Percussion Injury Device
Published on: April 21, 2023
[Specialized surgical care for children (victims of the earthquake) with open injuries]
Insights
This study details a mobile surgical team
Area of Science:
- Disaster medicine
- Pediatric surgery
- Traumatology
Context:
- Post-disaster surgical care for pediatric victims of major earthquakes in Pakistan, Indonesia, and Haiti.
- Management of 197 children with severe open soft tissue and bone injuries.
- Experience of a specialized mobile surgical team from the Research Institute of Urgent Pediatric Surgery and Traumatology.
Purpose:
- To present the strategy and organizational principles for providing specialized surgical care to pediatric disaster victims.
- To define injury characteristics, complications, and lessons learned from international surgical interventions.
- To analyze the effectiveness of active surgical treatment for open injuries complicated by infection.
Summary:
- A mobile surgical team implemented a strategy involving a dedicated pediatric surgical center, consultative support, and patient concentration for severe injuries.
- Key principles for coordinating with public health authorities and local medical staff were established.
- Analysis of injury patterns, complications, and surgical team errors at primary and specialized care levels.
Impact:
- Highlights the effectiveness of a proactive surgical treatment strategy for open injuries in pediatric disaster survivors.
- Provides insights into optimizing mobile surgical team operations and inter-agency collaboration in mass casualty events.
- Identifies critical factors for improving surgical outcomes and reducing complications in pediatric disaster medicine.
Abstract:
The article presents the authors' experience of providing specialized surgical care for 197 children who had been affected by the earthquake in Pakistan (2005), Indonesia (2006 and 2009) and Haiti (2010). All victims had open injuries of soft tissues and bones. The article recites the strategy and principles of work organization of the mobile team of specialists from the Research Institute of Clinical and Research Institute of Urgent Pediatric Surgery and Traumatology in disaster areas. It includes the creation of a center for specialized surgical care for children, consultative work in all regional hospitals to where victims are initially evacuated, transportation and concentration of children with the most severe injuries in a specialized center. The basic principles of interaction with the central and local public health authorities and medical staff of hospitals were developed. The main characteristics of such injuries and their complications were defined as well. Mistakes made by the local and international surgical teams at the stages of primary and specialized surgical care were described. The effectiveness of the applied strategy of active surgical treatment of open injuries of soft tissue and bones complicated by surgical infection has been analyzed.
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