Paper Information

Journal:   JOURNAL OF MILITARY MEDICINE   WINTER 2003 , Volume 4 , Number 4; Page(s) 287 To 290.
 
Paper: 

EVALUATION OF SOME MEDICAL RECORDS IN WAR VICTIMS

 
 
Author(s):  TOULIAT KASHANI S.M., PANAHI F.
 
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Abstract: 
Battlefield is an inevitable accident with different mass casualties from superficial to very serious injuries; the most important point is triage and immediate management of severe injuries. Most of the patients receive different management from fronts to the second line hospitals and a comprehensive record of injuries and treatment is necessary. In this study, we reviewed the medical records of some war casualties that were admitted in Shohada hospital surgery ward between 1984and 1986. In these cases we evaluated the trauma data registration and medical records. From 151 patients medical records 69 (45.7%) were complete and 82 (54.3%) incomplete and not useful. However, the records in 96 (63.6%) cases were enough, while 55 (36.4%) cases were unsuitable to evaluate. Because of these two problems some reoperations and sometimes unnecessary operations had been happened, which obviously had increased the number of expired patients. Unsuitable medical records in martyred was 61.1 percent and unsuitable data transfer was 50 percent, so we have to revise the medical guide lines and records in our military forces.
 
Keyword(s): MEDICAL RECORDS, TRAUMA REGISTRATION, TRIAGE, CASUALTY MORTALITY
 
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