Zafar Iqbal Gondal, Iqbal Ahmad Khan, Shaukat Mahmood Qureshi, Bashirur Rehman, Ijaz Ahmad, Zyad Kiani.
Pattern of toy bomb injuries in Azad Jammu & Kashmir (a hospital based study).
Pak Armed Forces Med J Jan ;57(2):100-3.

Background: An observational, hospital based study was conducted at CMH, Muzaffarabad to see the pattern of Toy Bomb blast injuries in a period from 1st Jan 2002 to 31st Dec 2003. On an incidence of Toy Bomb Blast injuries, patients reporting to a hospital in Azad Jammu and Kashmir (AJ&K) were the core study material for this article. Aim of Study: To study the pattern of injuries and their consequences in the studied population. Patients and Methods: Patients reporting to the hospital with history of toy bomb blast injuries were examined evaluated and followed up. Documents of patient with similar injuries in past treated in the hospital were also included in the study. A checklist guided the follow up of the patients from the incidence that triggered the study. The patients were scrutinized/evaluated according to Advanced Trauma Life Support (ATLS) system of trauma care. Results: Altogether 48 patients record was checked. The age ranged from 1 - 63 years (majority of the patients (80%) were male below 13 years of age), 38 (79%) cases sustained major trauma with multiple injuries of head/neck, maxillofacial, chest, Abdomen and all four limbs. Twenty-four cases (50%) had permanent disabilities. Mortality rate was 20%. Wound infection was very high (60%). The major complications were depending upon the organ involved/injured. Conclusion: This study points to the need for further studies of this unique method of causation of injuries (toy bomb blast injuries), the pattern they evoke and possible handling of such eventualities. It is desired that at one end the community must be informed and educated about the type, shape, injuries & prevention of the toy bomb casualties and on the other end quick evacuation and proper management of cases be ensured.

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