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Revista Colombia Médica
Universidad del Valle - Facultad de Salud
ISSN: 0120-8322 EISSN: 0120-8322
Vol. 48, No. 4, 2017, pp. 155-160
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Bioline Code: rc17057
Full paper language: English
Document type: Research Article
Document available free of charge
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Revista Colombia Médica, Vol. 48, No. 4, 2017, pp. 155-160
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Analysis of combat casualties admitted to the emergency department during the negotiation of the comprehensive Colombian process of peace
Ordoñez, Carlos A; Nunez, Ramiro Manzano; Parra, Michael W; Herrera, Juan Pablo; Naranjo, Maria Paula; Escobar, Sara Sofia; Badiel, Marisol; Morales, Monica; Cevallos, Cecibel; Bayona, Juan G; Sánchez, Alvaro Ignacio; Puyana, Juan Carlos & García, Alberto F
Abstract
Aim: Our objective was to describe the variations in casualties admitted
to the emergency department during the period of the negotiation of the
comprehensive peace agreement in Colombia between 2011 and 2016.
Methods: A retrospective study of all hostile military casualties managed
at a regional Level I trauma center from January 2011 to December 2016.
Patients were subsequently divided into two groups: those seen before the
declaration of the process of peace truce (November 2012) and those after
(negotiation period). Variables were compared with respect to periods
Results: A total of 448 hostile casualties were registered. There was a
gradual decline in the number of admissions to the emergency department
during the negotiation period. The number of soldiers suffering blast and
rifle injuries also decreased over this period. In 2012 there were nearly 150
hostile casualties' admissions to the ER. This number decreased to 84, 63,
32 and 6 in 2013, 2014, 2015 and 2016 respectively. Both, the proportion
of patients with an ISS ≥9 and admitted to the intensive care unit were
significantly higher in the period before peace negotiation. From August to
December/2016 no admissions of war casualties were registered.
Conclusion: We describe a series of soldiers wounded in combat that
were admitted to the emergency department before and during the
negotiation of the Colombian process of peace. Overall, we found a trend
toward a decrease in the number of casualties admitted to the emergency
department possibly in part, as a result of the period of peace negotiation.
Keywords
Military personnel; wounds and injuries; critical care; critical care outcomes; warfare
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© Copyright 2017 - Universidad del Valle Alternative site location: http://colombiamedica.univalle.edu.co
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