Clinical aspects of War Injuries in the Emergency Reception Department of the Sominé Dolo Hospital in Mopti (Mali)

Abstract

The security crisis experienced by our country in 2012 resulted in numerous injuries and deaths linked to terrorist attacks and this required a reorganization of the care of the injured. The objective of this work was to describe the clinical aspects of war injuries at the Sominé Dolo hospital in Mopti (Mali). We we realized a single-center descriptive cross-sectional study relating to the files of patients suffering from war injuries and admitted to the emergency reception department of the Sominé Dolo hospital in Mopti (Mali) during the period between January 1, 2020 and October 31, 2022. This hospital represents the largest reference structure in central Mali with per year. The frequency of war injuries was 2.34%. The average time to admission of our patients before 24 hours was 80% and after 24 hours it was 10%. The injured who received pre-hospital care represented 95.13%. Each patient had an average of 2.25 lesion locations. In 79% of cases, it was a gunshot wound and in 15% of cases it was an injury from improvised explosive devices. The sites of the lesions were: the upper limbs (50.90%), the lower limbs (45%), the cephalic region (14.60%), the abdomen (11.80%), the thorax (6%), the spine (7.10%). The mortality rate was 0.39% in the emergency room.