• Feizhou Du, Jialing Wu, Jin Fan, Rui Jiang, Ming Gu, Xiaowu He, Zhiming Wang, and Ci He.
• Department of Radiology, Chengdu Military General Hospital, NO.270, Rongdu Avenue, Jinniu District, Chengdu, Sichuan, 610083, China.
• Scand J Trauma Resus. 2016 Jul 26; 24: 95.

BackgroundThis study aimed to analyse the injuries sustained by rescue workers in earthquake relief efforts in high altitude areas for improving the ways of how to effectively prevent the injuries.MethodsThe clinical data of 207 relief workers from four military hospitals in Tibet, who were injured in the Tibetan disaster areas of China during '4.25' Nepal earthquake rescue period, was retrospectively analyzed. The demographic features, sites of injury and causes of injury were investigated.ResultsThe most frequently injured sites were the ankle-foot and hand-wrist (n = 61, 26.5 %), followed by injuries in leg-knee-calf (n = 22, 9.6 %), head-neck (4.87 %), thoracic and abdominal region (2.6 %) and lower back (3.9 %). The specific high-altitude environment increased the challenges associated with earthquake relief.DiscussionThe specific plateau environment and climate increased the burden and challenge in earthquake relief. The injury distribution data shown in this study demonstrated that effective organization and personnel protection can reduce the injury occurrences.ConclusionRelief workers were prone to suffering various injuries and diseases under specific high-altitude environment.

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