Effects of Land Mines and Unexploded Ordnance on the Pediatric Population and Comparison with Adults in Rural Cambodia

Bendinelli, Cino
May 2009
World Journal of Surgery;May2009, Vol. 33 Issue 5, p1070
Academic Journal
This paper was designed to evaluate and compare the impact of explosive war remnants on children versus adults in rural Cambodia. A prospective review of trauma database from November 2003 to January 2006 of the Civilian War Victims Surgical Centre in Battambang, Cambodia, run by an Italian NGO called “EMERGENCY” was performed. Age, female ratio, time of evacuation, type of ordnance, pattern of injury, number of operations, transfused patients, hospitalization, mortality, and residual disability were registered and compared. A total of 356 patients acutely wounded by antipersonnel land mines, antitank land mines, or unexploded ordnances (UXO) were admitted. Among these, 94 (26.4%) were children (younger than aged 16 years). Females were more common among children than adults (31.9% vs. 11.8%); 61.7% of children were injured by UXO, whereas 72.1% of adults were victims of antipersonnel land mines. Antitank mines victims were uncommon in both groups. The majority of adults (49.2%) were injured to lower limbs, whereas 50% of children were injured to upper limbs, face, and torso. Random wounds, typical of an explosion in vicinity, were observed in 32.9% of children and 18.7% of adults. All differences were statistically significant ( P < 0.005). Time of evacuation, number of operations, and hospitalization did not statistically differ among groups. Number of transfused patients (23% vs. 7.2%), mortality (6.3% vs. 1.5%), incidence of blindness (21.2% vs. 9.5%), and maimed upper limbs (23.3% vs. 8.8%) were significantly higher in children compared with adults ( P < 0.05). Long after ceasefire, antitank mines, antipersonnel land mines, and UXO continue to injure and kill civilians. Children are commonly injured and sustain more severe injuries.


Related Articles

  • Derivation of the children's head injury algorithm for the prediction of important clinical events decision rule for head injury in children. Dunning, J.; Daly, J. Patrick; Lomas, J-P.; Lecky, F.; Batchelor, J.; Mackway-Jones, K. // Archives of Disease in Childhood;Nov2006, Vol. 91 Issue 11, p885 

    Background: A quarter of all patients presenting to emergency departments are children. Although there are several large, well-conducted studies on adults enabling accurate selection of patients with head injury at high risk for computed tomography scanning, no such study has derived a rule for...

  • Job syndrome masquerading as non-accidental injury. Walsh, J.; Reardon, W. // Archives of Disease in Childhood;Jan2008, Vol. 93 Issue 1, p65 

    Awareness of the rare condition of Job syndrome is low among both paediatricians and geneticists. Consequently, observation of the recurrent fractures in the majority of such cases can result in misdiagnosis of non-accidental injury in young children who have the syndrome. The case we report...

  • Laryngotracheoplasty: 30-Year Follow-Up to a Pioneering Case. Crysdale, William S. // Journal of Otolaryngology;Nov/Dec2005, Vol. 34 Issue 6, p418 

    Presents a case report of a pediatric patient who underwent laryngotracheoplasty after a vehicular accident. Medical history of the patient; Information on subglottic stenosis; Outcome of treatment.

  • The Risk of Childhood Injury on Boston's Playground Equipment and Surfaces. Bond, Marie T.; Peck, Magda G. // American Journal of Public Health;May93, Vol. 83 Issue 5, p731 

    The Childhood Injury Prevention Program of the Boston Department of Health and Hospitals conducted a survey of injury risk in Boston's playgrounds. A standardized checklist was used to assess a 25% sample of public playgrounds for hazards. Climbers accounted for 34% of the hazards observed and...

  • A swallowed coin: How to call it. Chen, Ingfei; Griffin, Kathering // Health (Time Inc. Health);Nov/Dec93, Vol. 7 Issue 7, p14 

    Presents the result of a study in treating children with swallowed coins. Children's National Medical Center's pediatric emergency physician Gregory Conners' study; Prediction of cases needing doctor's care; Treatment for lower esophageal trapping.

  • Kerosene Heaters -- A New Burn Threat To Children. Rissmiller, Richard // Clinical Pediatrics;Mar1983, Vol. 22 Issue 3, p203 

    This article discusses the threats to children from kerosene heaters. The tops of these heaters are designed to heat to 200-300 F, to allow water to boil to provide humidity when the units are in use. Kerosene heaters, on the other hand, are easily portable and frequently are placed in central...

  • "Heely"-related injuries in children. Thing, J.; Wade, D.; Clark, H. // Emergency Medicine Journal;Sep2008, Vol. 25 Issue 9, p572 

    The article discusses a study to determine if heelys contribute to injuries in children, and what effect such has on them. It states that despite claims regarding their safety by their manufacturers, more children have gone into emergency departments with injuries reportedly as a result of...

  • Is this immune thrombocytopenic purpura? Thachil, Jecko; Hall, Georgina W. // Archives of Disease in Childhood;Jan2008, Vol. 93 Issue 1, p76 

    The article discusses acute immune thrombocytopenic purpura, a diagnosis when a child with a history of sudden onset bruising, purpura and petechiae came to an acccident and found to have an isolated severe thrombocytopenia. According to the study, acute immune thrombocytopenic purpura is an...

  • Thinking the worst: Major incidents involving children. Lee, Polly // Paediatric Nursing;Apr2002, Vol. 14 Issue 3, p14 

    Examines the principles of major incident planning in the National Health Service involving children in Great Britain. Definition of a major incident; Disadvantages of using designated hospitals during major incidents; Implications of the implementation of the major incident plan.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics