Dealing with terror-related mass casualty events

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• 作者：K. Peleg PhD MPH ; M. Rozenfeld MA
• 关键词：Terror ; Mass casualty events ; Injuries ; Preparedness ; Medical management ; Terror ; Massenanfall von Verletzten ; Verletzungen ; Einsatzbereitschaft ; Medizinische Versorgung
• 刊名：Notfall & Rettungsmedizin
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：18
• 期：4
• 页码：285-292
• 全文大小：378 KB
• 参考文献：1.Agency USFEM (2000) Emergency response to terrorism: tactical considerations: emergency medicine services. Federal emergency management agency
  2.Peleg K, Shenhar G (2014) Did the U.S. response to the marathon bombings help or harm security? Front Public Health 2:10PubMed Central PubMed View Article
  3.Aharonson-Daniel L, Peleg K, ITG (2005) The epidemiology of terrorism casualties. Scand J Surg 94:185-90PubMed
  4.National Center for Injury Prevention and Control (2010) Interim planning guidance for preparedness and response to a mass casualty event resulting from terrorist use of explosives. Centers for Disease Control and Prevention, Atlanta
  5.Adini B, Peleg K, Cohen R, Laor D (2010) A national system for disseminating information on victims during mass casualty incidents. Disasters 34(2):542-51PubMed View Article
  6.Kosashvili Y, Loebenberg MI, Lin G, Peleg K, Feigenberg Z, Kluger Y, Blumenfeld A (2009) Medical consequences of suicide bombing mass casualty incidents: the impact of explosion setting on injury patterns. Injury 40:698-02PubMed View Article
  7.Golan R, Soffer D, Givon A, ITG, Peleg K (2014) The ins and outs of terrorist bus explosions: injury profiles of on-board explosions versus explosions occurring adjacent to a bus. Injury 45(1):39-3PubMed View Article
  8.Sollid SJ, Rimstad R, Rehn M, Nakstad AR, Tomlinson A-E, Strand T et al (2012) Oslo government district bombing and Ut?ya island shooting July 22, 2011: the immediate prehospital emergency medical service response. Scand J Trauma Resusc Emerg Med 20(1):3PubMed Central PubMed View Article
  9.Lockey DJ (2012) The shootings in Oslo and Ut?ya island July 22, 2011: lessons for the international EMS community. Scand J Trauma Resusc Emerg Med 20(1):4PubMed Central PubMed View Article
  10.De Ceballos JPG, Turégano-Fuentes F, Perez-Diaz D, Sanz-Sanchez M, Martin-Llorente C, Guerrero-Sanz JE (2005) 11 March 2004: the terrorist bomb explosions in Madrid, Spain–an analysis of the logistics, injuries sustained and clinical management of casualties treated at the closest hospital. Critical Care 9(1):104-11PubMed Central PubMed View Article
  11.Peleg K, Savitsky B, ITG (2009) Terrorism-related injuries versus road traffic accident-related trauma: 5 years of experience in Israel. Disaster Med Public Health Prep 3(4):196-00
  12.Amir LD, Aharonson-Daniel L, Peleg K, Waisman Y, ITG (2005) The severity of injury in children resulting from acts against civilian populations. Ann Surg 241:666-70PubMed Central PubMed View Article
  13.Jaffe DH, Peleg P ITG (2010) Explosive injuries: a comparison of children, adolescents, and adults. Ann Surg 251:138-43
  14.Aharonson-Daniel L, Klein Y, Peleg K ITG (2006) Suicide bombers form a new injury profile. Ann Surg 244(6):1018-023PubMed Central PubMed View Article
  15.Heldenberg E, Givon A, Simon D, Bass A, Almogy G, Peleg K (2014) Terror attacks increases the risk of vascular injuries. Front Public Health 2:47PubMed Central PubMed View Article
  16.Kluger Y, Peleg K, Daniel-Aharonson L, Mayo A, ITG (2004) The special injury pattern in terrorist bombings. Am Coll Surg 199:875-79View Article
  17.Weil Y, Peleg K, Givon A, Mosheiff R (2011) Penetrating and orthopaedic trauma from blast versus gunshots caused by terrorism: Israel’s national experience. J Orthop Trauma 25:145-49PubMed View Article
  18.Weil YA, Peleg K, Givon A, ITG, Mosheiff R (2008) Musculoskeletal injuries in terrorist attacks—a comparison between the injuries sustained and those related to motor vehicle accidents, based on a national registry database. Injury 39:1359-364PubMed View Article
  19.Leibovici D, Gofrit ON, Shapira SC (1999) Eardrum perforation in explosion survivors: is it a marker of pulmonary blast injury? Ann Emerg Med 34:168-72PubMed View Article
  20.Peleg K, Aharonson-Daniel L, Stein M, Michaelson M, Kluger Y, Simon D, ITG, Noji EK (2004) Gunshot and explosion injuries characteristics, outcomes, and implications for care of terror-related injuries in Israel. Ann Surg 239:311-18
  21.Peleg K, Rozenfeld, M, Stein M (2010) Poorer outcomes for mass casualty events victims: is it evidence based? J Trauma 69:653-59PubMed View Article
  22.Peleg K, Rivkind A, Aharonson-Daniel L, ITG (2006) Does body armor protect from firearm injuries? J Am Coll Surg 202:643-48PubMed View Article
  23.Peleg K, Jaffe DH, ITG (2010) Are injuries from terror and war similar? A comparison study of civilians and soldiers. Ann Surg 252(2):363-69PubMed View Article
  24.Lipsky AM, Klein Y, Givon A Klein M, Hammond JS, Peleg K (2014) Accuracy of initial critical care triage decisions in blast versus non-blast trauma. Disaster Med Public Health Prep 8:326-32PubMed View Article
  25.Peleg K, Rozenfeld M, Dolev E (2012) Children and terror casualties receive preference in ICU admissions. Disaster Med Public Health Prep 6:14-9PubMed View Article
  26.Peleg K, Kellermann AL (2009) Enhancing hos
• 作者单位：K. Peleg PhD MPH (1) (2)
  M. Rozenfeld MA (1) (2)
  
  1. National Center for Trauma & Emergency Medicine Research, Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, 52621, Ramat-Gan, Israel
  2. School of Public Health, Tel Aviv University, Tel Aviv, Israel
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Emergency Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1436-0578

文摘

Purpose To describe the evidence-based insights and guidelines regarding the preparedness of health-care systems to deal with terror attacks. Methods Review of the existing literature on the subject with an emphasis on data from the Second Intifada of 2000-005. Results The most critical components of dealing with terror attacks are not the clinical guidelines and protocols but organization, command, control, communication, and coordination (OCCCC). Creating universal protocols for dealing with terror attacks is problematic because they can differ greatly in injury characteristics, time to evacuation and treatment, and levels of hospital preparedness. Overall, terror casualties involve more severe injuries than other types of trauma and require more hospital resources. The most important clinical parameter of injuries from terrorist explosion attacks is a mix of different types of severe injury in the same patient. This complicates triage, and thus the dichotomic distinction of “urgent-and “not urgent-patients may be more helpful than the classic “color system.-The stream of severely injured patients into hospital frequently creates bottlenecks, especially in the emergency department, the intensive care unit, and imaging and operation rooms. Conclusions The most important guidelines for the preparedness of health-care systems for terror attacks are: establishment of a central authority for coordinating preparedness and response; existence of clear preparedness goals; definition of standard operating procedures for all organizational levels; enhancement of surge in hospital capacity; quick clearance of emergency departments to receive urgent casualties with non-urgent patients directed elsewhere; quick reinforcement of emergency departments by additional staff; distribution of severe casualties between adjacent hospitals with possible definition of the closest one as triage hospital; training and exercising of medical staff on all levels.