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Flight Crash During COVID-19: Lessons Learnt.

Arun Kumar Chinraj1, Prince Shanavas Khan1, Pradeep Kumar Thammanassery1

  • 1Department of Orthopaedics, Aster MIMS, Calicut, Kerala 673016 India.

Indian Journal of Orthopaedics
|August 4, 2021
PubMed
Summary
This summary is machine-generated.

The Calicut flight crash involved 38 orthopaedic patients with lower extremity and spine fractures. Management during COVID-19 presented unique challenges, including PPE use and undefined protocols.

Keywords:
COVID-19Disaster managementFlight crashOrthopaedic injuriesPersonal protective equipment

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Area of Science:

  • Orthopaedic Surgery
  • Trauma Management
  • Public Health

Background:

  • Flight crashes have low survival rates, making the Calicut incident notable.
  • Managing mass casualty events is complex, further challenged by COVID-19 pandemic restrictions and evolving treatment protocols.

Purpose of the Study:

  • To analyze orthopaedic injury patterns in Calicut flight crash survivors.
  • To identify management challenges faced by healthcare teams during the COVID-19 pandemic.

Main Methods:

  • Analysis of 38 orthopaedic patients admitted following the Air India Express crash on August 7, 2020.
  • Detailed examination of injury types, treatment, and complications, including management in full personal protective equipment (PPE).

Main Results:

  • The majority of patients sustained lower extremity (11 femur, 13 tibial) and spine fractures (12).
  • Average fracture union time was approximately 3 months, with reported complications including delayed union, avascular necrosis of the talus, and nonunion.
  • Two cases of surgical site infection were observed.

Conclusions:

  • Trauma teams must be prepared for the unique difficulties in identifying, communicating with, and treating disaster victims during the COVID-19 pandemic.
  • Effective management requires adaptability to pandemic-related challenges in mass casualty incidents.