15. Musculoskeletal injuries following earthquakes
In: Handbook of public health in natural disastersSearch for other papers by E. Bar-On in
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An earthquake is a devastating event causing a large number of musculoskeletal injuries. Morbidity and mortality numbers depend on multiple factors related to the earthquake characteristics and timing as well as geographical and population factors in the disaster zone. Injuries encountered will depend on time elapsed from the earthquake, search and rescue and evacuation capabilities. Musculoskeletal injuries of the lower limbs are the predominant injuries with a high number of fractures, many of them open and infected as well as crush injuries. As the earthquake damages local medical infrastructure, there will be a severe imbalance between treatment needs and capabilities, necessitating adjustment of known everyday treatment policies so that as many patients as possible may benefit from the treatment. Early treatment in the disaster zone will be according to Damage Control principles with definitive treatment performed in referral centers outside the earthquake area or postponed until recovery of the health system.