Journal of Emergencies, Trauma, and Shock

ORIGINAL ARTICLE
Year
: 2012  |  Volume : 5  |  Issue : 4  |  Page : 296--298

Explosive attack: Lessons learned in Seyed Al Shohada mosque attack, April 2008, Shiraz, Iran


Shahram Paydar1, Maryam Sharifian2, Shahram Boland Parvaz1, Hamid Reza Abbasi1, Mohamad javad Moradian1, Jamshid Roozbeh3, Saman Nikghbalian1, Mohammad Mahdi Sagheb3, Fariborz Ghaffarpasand1, Oveis Salehi1, Javad Dehghani1 
1 Department of General Surgery, Trauma Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Neurology, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
3 Department of Internal Medicine, Urology Nephrology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Correspondence Address:
Maryam Sharifian
Department of Neurology, Student Research Committee, Shiraz University of Medical Sciences, Shiraz
Iran

Introduction: The threat of explosive attacks has become a worldwide problem. Bombing is the preferred method of attacks. These attacks result in specific physical and psychiatric trauma. In this paper, we present an epidemiologic description of the physical injuries of patients who survived the explosive attack in Seyed Al Shohada mosque April 2008 Shiraz, Iran. Materials and Methods: All medical records of the patients admitted at Shiraz Hospitals on April 2008 due to Seyed Al Shohada mosque bombing attacks, Shiraz, Iran, were reviewed. Results: A total of 202 patients were referred to the hospitals over 24 h following the terrorist attack. One hundred sixty-four patients were admitted for short periods of observation (<24 h). Thirty-eight patients needed more than 1 day of hospitalization. The mean age of the patients was 26.2 (range 2 to 51) years. One hundred thirty-five (66.8%) patients were males. Twenty-six (12.8%) were children. Burn was the most prevalent cause of admission. Five (13.5%) patients needed chest tube insertion and eight (21%) needed skin grafts due to burn. Overall, 12 patients expired (5%). Three (25%) of them were children (2 and 6, and 11 years old). Mortality rate was significantly higher among the children than adults (P value <0.05). The most important cause of death was head trauma which was seen in five (41.6%) of the expired patients followed by burn (including air way burn) in four (33%), and internal bleeding in three (25%). Patients with head trauma had significantly a higher rate of mortality than other patients (P value <0.05). Discussion: Following a bombing attack, numerous victims were brought to the emergency unit suffering from a combination of multi-organ injuries caused by the blast, penetrating injuries caused by shrapnel and other debris, and burns. It is important for a physician to be familiar with the clinical features and treatments of explosive attacks victims. Early management of patients at the scene and hospital may save their life.


How to cite this article:
Paydar S, Sharifian M, Parvaz SB, Abbasi HR, Moradian Mj, Roozbeh J, Nikghbalian S, Sagheb MM, Ghaffarpasand F, Salehi O, Dehghani J. Explosive attack: Lessons learned in Seyed Al Shohada mosque attack, April 2008, Shiraz, Iran.J Emerg Trauma Shock 2012;5:296-298


How to cite this URL:
Paydar S, Sharifian M, Parvaz SB, Abbasi HR, Moradian Mj, Roozbeh J, Nikghbalian S, Sagheb MM, Ghaffarpasand F, Salehi O, Dehghani J. Explosive attack: Lessons learned in Seyed Al Shohada mosque attack, April 2008, Shiraz, Iran. J Emerg Trauma Shock [serial online] 2012 [cited 2020 Feb 17 ];5:296-298
Available from: http://www.onlinejets.org/article.asp?issn=0974-2700;year=2012;volume=5;issue=4;spage=296;epage=298;aulast=Paydar;type=0