DISASTER MEDICINE No. 1 •2025

https://doi.org/10.33266/2070-1004-2025-1

CLINICAL ASPECTS OF DISASTER MEDICINE

Review article

Providing Specialized Surgical Care to Children Injured in Earthquakes: a Review of Scientific Publications

Medinskiy P.V. 1, Nalbandyan R.T. 1, Keshishyan R.A. 2,3

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1 Clinical and Research Institute of Emergency Pediatric Surgery and Trauma of the Moscow City Health Department, Moscow, Russian Federation

2 Peoples’ Friendship University of Russia, Moscow, Russian Federation

3 Russian Medical Academy of Postgraduate Education, Moscow, Russian Federation 

UDC 617.5:347.157

Pp. 30-36

 

Summary. The aim of the study is to substantiate the need to form specialized pediatric surgical teams to improve the effectiveness of treating children in emergency situations (ES) based on the analysis of special systematic reviews and original publications on the provision of staged surgical care to children injured in earthquakes. Research methods: analytical method and generalization method.

Research results and their analysis. The article presents the state of the art of organizing surgical care for adults and children in earthquake-affected regions. The structure of earthquake injuries in children and adults is considered. The anatomical and physiological features of the child’s body that must be taken into account when providing medical care to children in the context of their mass admission during earthquakes are indicated. The main errors in the strategy and tactics of surgical treatment of open injuries of the musculoskeletal system in children are presented. A conclusion is made about the medical and social significance of the formation of mobile pediatric teams in providing staged medical care to children during their mass admission after destructive earthquakes.

Keywords: amputations, crush syndrome, earthquakes, emergency situations, injured children, mass admission of victims, organization of medical care, specialized surgical care, wounds

For citation: Medinskiy P.V., Nalbandyan R.T., Keshishyan R.A. Providing Specialized Surgical Care to Children Injured in Earthquakes: a Review of Scientific Publications. Meditsina Katastrof = Disaster Medicine. 2025;1:30-36 (In Russ.). https://doi.org/10.33266/2070-1004-2025-1-30-36

 

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The material was received 25.09.24; the article after peer review procedure 22.10.24; the Editorial Board accepted the article for publication 13.03.25