Research Article| Volume 18, ISSUE 1, P15-17, January 1987

Missed injuries in casualties from the Iraqi-Iranian war: a study of 35 cases

  • T.A. Hamdan
    Requests for reprints should be addressed to: T. A. Hamdan, Consultant Orthopaedic Surgeon, Basrah University Teaching Hospital, Basrah, Iraq.
    Basrah University Teaching Hospital, Iraq
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.


      Thirty-six injuries were missed in 35 casualties admitted to Basrah University Teaching Hospital from the Iraqi-Iranian war. The errors were made particularly in patients with severe multiple injuries. The incidence of missed injuries and the reasons for the diagnostic failures are discussed. The injuries that were overlooked mostly involved the peripheral nerves, and the factors leading to inadequate initial assessment were poor clinical routine, failure to interpret correctly the physical signs and poor use. of X-ray facilities. Casualties with head injury, and those who presented with traumatic amputations, need particular care. Such patients are costly both in staff time and in investigations.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Injury
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Chan R.N.W.
        • Ainslow D.
        Diagnostic failure in multiple injuries.
        J Trauma. 1980; 20: 684
        • Hindle J.F.
        The management of multiple injuries.
        Br. J. Hosp. Med. 1978; 19: 219
        • McLaren C.A.N.
        • Robertson C.
        • Little K.
        Missed orthopaedic injuries in the resuscitation room.
        J. R. Coll. Surg. Edinb. 1983; 28: 399