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Correspondence
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Volume 352:2654-2655 June 23, 2005 Number 25
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Treatment of Survivors after the Tsunami

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To the Editor: The tsunami that struck the Asian subcontinent and Africa on December 26, 2004, caused the deaths of more than 200,000 people. In Thailand more than 10,000 people were treated in ambulatory health centers. After a tsunami, the effects on people occur in three phases. The injuries that are incompatible with life (e.g., severe cardiovascular events, head injury, and blunt injury) happen in the first minutes; then, over the following hours, complications such as massive hemorrhage, hemopneumothorax, and pulmonary embolism are seen. These are followed, in turn, by the late complications, including infectious diseases that develop over days . . . [Full Text of this Article]



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