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Lady Reading Hospital bringing laurels to country.

Byline: Ashfaq Yusufzai

PESHAWAR -- The medical teaching institute Lady Reading Hospital has been transferring its experience and guidelines of dealing with war and trauma victims at global level because there is a growing need to cope with the people affected by terrorism.

The documentation of data by the hospital has been eliciting interest from Austria to Australia, from Beijing to Barcelona, from Geneva to Germany, from Dubai to Jakarta, from Edinburgh to Moscow, where Prof Aamir, the head of cardiothoracic ward, is being invited regularly to speak about the study.

The study 'Thoracic War Injuries' is dedicated to a brave police officer, Safwat Ghayur, who died in a suicide attack in 2010. It became possible after the enforcement of Medical Teaching Institutions Reforms Act, 2015 under which all clinicians are required to give two sessions for research every week.

The study conducted by Prof Aamir and his team involving data of 10,836 patients treated over the period of 14 years from June 2002 to December 2015, has been a source of bringing laurels to the hospital in the shape of international recognition.

Study conducted on victims of terrorism at the hospital eliciting interest at global level

According to it, morbidity was the highest in drone injuries (15.27%) followed by bomb blast (14.75%) and firearm (5.66%). Mortality was the highest in bomb blast injuries (8.19%), followed by drone attacks (6.94%) and firearm (2.91%).

The study, which included 25 per cent of the cardiothoracic injuries at LRH, included 10,216 firearm chest injuries, 549 thoracic injuries in 351 bomb blasts and 72 thoracic injuries in 153 drone attacks. Male to female ratio is 2:1, according to the study.

All patients were initially managed with tube thoracostomy and emergency thoracotomy was done in 405 (3.96%) firearm injury cases, 172 (31.32%) in bomb blast injuries and 16 (22.22%) in drone attack injuries. Rest of the 10,836 (94.42%) patients were stable and treated with low pressure suction and incentive spirometry.

Clotted hemothoraces were successfully evacuated in 561 (5.49%) firearm injury cases, 69 (12.56%) bomb blast injuries, and 14 (19.4%) drone attack injuries through posterolateral thoracotomy.

Morbidity was 15.27 per cent in drone injury, 14.75 per cent in bomb blast injury and 5.66 per cent in firearm injury. Mortality was 8.19 per cent in bomb blast injury, 6.94 per cent in drone injury and 2.91 per cent in firearm injury.

The study showed that thoracic injuries were effectively manageable by initial intubation, observation and supportive treatment. It has been shared with European Association for Cardiothoracic Surgery, International Committee of the Red Cross, etc where Prof Aamir delivered lecture as guest speaker, representing Pakistan.

The 1750-bed LRH is now guiding Europe, Asia and Middle East to deal with 'urban warfare' as the war against terrorism rages across the globe due to its unmatched experience of dealing with over 10,000 gunshot chest injuries, over 550 thoracic bomb blast injuries and 73 drone attack chest injuries.

Author of the study has come up with guidelines and flow charts to deal with these injuries, which the world is keen to hear and rapidly adopting.

Prof Mukhtiar Zaman Afridi, the medical director of the hospital, said the study covered only 25 per cent of the war and trauma victims as 75 per cent of them were treated in other wards. 'We are planning to document the whole data about our performance with regard to management of terror-hit people,' he added.

Prof Mukhtiar said that LRH was set to start postgraduate training for specialisation in emergency and trauma as the first public sector institute to have got recognition by the College of Physicians and Surgeons Pakistan.

'Apart from thoracic injuries, the hospital has received over 30,000 war and trauma patients treated in other wards due to which it has become a household name internationally in trauma circles,' he added.
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Publication:Dawn (Karachi, Pakistan)
Date:Mar 1, 2018
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