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Table 2 Selected HW cases from 2012, including age, gender, presentation, management, and patient outcome

From: Trauma training course: innovative teaching models and methods for training health workers in active conflict zones of Eastern Myanmar

Patient

Case

16-year-old male

The patient suffered a landmine injury while fishing 2 days prior to presentation. The patient had a traumatic right foot amputation. The patient subsequently was given a blood transfusion and a below the knee amputation was performed with ketamine. The patient was given antibiotics. The patient has returned to school and has been referred for a prosthesis.

18-year-old male

The patient suffered a penetrating bamboo wound to his right leg. He presented 3 days after the injury with fever, pain, erythema, swelling, and anorexia. The medic performed a fasciotomy, removed the retained bamboo, and debrided the surrounding necrotic muscle with tramadol. The patient received antibiotics and stayed at the clinic for 7 days, before being discharged.

20-year-old male

The patient was being chased by a wild boar, he climbed a tree, the branch broke and the pig bit him in his groin and legs. The patient presented to the clinic 3 h after the bite. The wounds were cleaned, packed, and he was given antibiotics.

20-year-old male

The patient suffered distal tibia and fibula fractures while playing football (soccer). The medic was on scene when the accident occurred. The medic noted the significant deformity and performed a closed reduction with tramadol. The leg was immobilized with a splint and the patient was referred for definitive management.

22-year-old soldier

The patient suffered a landmine injury. He had a complex open right ankle fracture. The wound was cleaned and packed and he was given tramadol and antibiotics. He was subsequently referred to a hospital.

24-year-old soldier

The patient suffered a gunshot wound to the right elbow. He presented to the clinic 4 h later. The wound was cleaned and the patient was given IVF and antibiotics. The medic advised an amputation, but the patient refused. The wound was debrided and packed. The patient is still unable to move his hand.

27-year-old male

The patient was gored by a buffalo and suffered multiple broken ribs and abdominal injuries. He was seen at the clinic 5 h after the injury. The patient was unconscious upon arrival to the clinic. He was given IVF and antibiotics. He was subsequently referred to a hospital.

28-year-old female

The patient suffered left open tibia and fibula fractures. The medic performed a left below the knee amputation.

28-year-old male

The patient who suffered an infected groin injury from a water buffalo 1 month prior to presentation. The patient had his penis amputated with ketamine and was given antibiotics. The patient was referred to Thailand for additional management, but he refused. On follow-up, the patient was able to urinate.

28-year-old male

The patient was cleaning a gun and it backfired, causing him an ulna fracture. The patient presented to the clinic 4 days after the injury. The medic performed a reduction with tramadol. The patient was then splinted and given antibiotics.

38-year-old male

The patient suffered a wild boar attack to his abdomen and had evisceration. The medic responded within 30 min. On arrival the patient was in severe shock and despite intravenous fluids and direct pressure the patient expired.

45-year-old male

The patient sustained left face, right chest, and left leg injuries from a wild boar attack. The patient presented 3 h after the attack. The wounds were cleaned and packed. The patient stayed in the clinic for 10 days and recovered well.

  1. There were a number of reports of patients who experienced gunshot wounds or landmines injuries who were dead upon arrival of the medic.